Bilateral Cleft Lip Markings

Cleft lip may be unilateral or bilateral. Marking begins with the prolabium and then proceeds to the lateral lip elements. Cleft lip part 4 bilateral cleft lip duration.

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Bilateral Cleft Lip Repair Surgical Tutorial For Professionals

Bilateral Cleft Lip Repair Background History Of The Procedure

Repair Of Bilateral Cleft Lip And Nasal Deformity Pocket Dentistry

Figure 1 From Modern Tenets For Repair Of Bilateral Cleft Lip

Mark the most distal aspect of each flap on the wet vermillion directly below the medial peak of cupid s bow and noordhoff s point.

Bilateral cleft lip markings. Begin by marking the midline columellar base as shown by the marker within the photo. The median tubercle is thin and chapped particularly if prolabial vermilion mucosa was retained. Cleft lip and cleft palate also known as orofacial cleft is a group of conditions that includes cleft lip cleft palate and both together. A cleft lip is an opening or split in the upper lip that occurs when developing facial structures in an unborn baby don t close completely.

A cleft palate occurs when the roof of the mouth contains an opening into the nose. Here is animated video showing the millards marking with modifications its called modiefied millard s marking fro cleft lip repair. This variant is the most easily corrected of all. Now mark the height of the philtral column to the left and right of this midline marking.

A baby with a cleft lip may also experience a cleft in the roof of the mouth cleft palate. Multiple surgical techniques have been described for management of the deformity. The nasolabial stigmata after bilateral cleft lip repair are obvious even at a conversational distance fig. The bilateral cleft lip deformity is one of the most challenging entities in cleft and craniofacial surgery.

One fourth of bilateral cleft lips are bilaterally incomplete. The method used to mark the lateral lip element was determined by chart review. The opening may be on one side both sides or in the middle. Marking the height of cupid s bow on the cleft side lateral lip element just before the attenuation of lip fullness can prevent this deformity.

There is no universally accepted consensus among cleft surgeons as to the optimal markings flap designs and primary rhinoplasty techniques. A retrospective study yielded a series of 17 patients with secondary deformities of residual cleft tissue in their repair. The m flap from the medial lip element and the l flap from the lateral lip element are small mucosal flaps that will be used for lining. Upon closer inspection the philtrum is wide bowed and undimpled.

Bilateral incomplete cleft lip. The concepts for design and execution are the same as for a complete bilateral cleft lip including the need for adjustments based on expected nasolabial changes with growth. The vermillion markings can be seen here. The lip is too long is flat and lacks normal protrusion.

A cleft lip contains an opening in the upper lip that may extend into the nose.