A new technique for reconstruction of the tubercle in patients with secondray deformity of cleet lip.

No authors listed,

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 1998;25(7):1347-1352.
Published online October 1, 1998.

A new technique for reconstruction of the tubercle in patients with secondray deformity of cleet lip.

No authors listed

Abstract

Deficiencies of the tubercle, philtral ridges and philtral dimple are common secondary deformities after cleft lip repair, and the reconstruction of these three elements are important for an aesthetically pleasing upper lip. Although various techniques have been described to deal with tubercle deficiency, absence of phitral ridges and phitral dimple, a technique which is simple and can create the tubercle, phitral ridges and philtral dimple in a single operation is rare. We present a technique which contains (1) V-Y mucosal advancement flap, (2) vertical rearrangement of the central portion of the orbicularis oris muscle, (3) adhesion of skin to the created dimple in orbicularis oris muscle for reconstruction of the philtral dimple and (4) in some cases, submucosal graft for reconstruction of the philtral ridge. This technique was performed in eighteen patients who had mild to moderate deficiency of the tubercle and produced satisfactory results.