Bilateral Complete Cleft Lip Surgery

A unilateral one sided cleft lip. A bilateral complete cleft lip affects both the right and left sides of the lip. If the repair is staged the more severe side is repaired first and the second.

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Bilateral Cleft Lip Repair Surgical Tutorial For Professionals

Primary Cleft Lip Nasal Reconstruction Gallery St Louis

Cleft Lip Before And After Photos Dallas Pediatric Plastic Surgeon

Primary Cleft Lip Nasal Reconstruction Gallery St Louis

Bilateral Cleft Lip And Palate Dallas Pediatric Plastic Surgeon

We present an example of a repair of the bilateral incomplete lip as described by millard.

Bilateral complete cleft lip surgery. The lack of continuity in the muscle makes clear speech difficult for these individuals. This can affect one side of the mouth unilateral or both sides bilateral and can be complete meaning the cleft goes up into the nose or incomplete. This tutorial for medical professionals was developed to supplement learning of a common surgical technique and is not intended to replace formal surgical training. The goals of an acceptable repair must include precise continuity of the cupid s bow maximizing philtral length and establishing a mucosa lined sulcus.

There are no philtral columns no philtral dimple and there is no orbicularis muscle in the central segment. Operative modifications are described for variations of bilateral cleft lip. The authors emphasize the surgeon s obligation for periodic assessment. In general bilateral cleft lip repair techniques have been modified from unilateral cleft lip repair techniques.

Bilateral cleft lip palate before and after pictures. A cleft lip can also affect the gum where the teeth come through. Repair of the bilateral cleft lip deformity can be challenging to the cleft and craniofacial surgeon. We treat and correct cleft lip palate and all its variations and levels of complexity.

A bilateral complete cleft lip which has been previously treated with nasoalvoelar molding is repaired with the millard mulliken technique which employs reconstruction of the orbicularis oris muscle by advancing bilateral muscular segments. On both sides the cleft extends from the vermillion to the nostril. Look at these before and after photographs to see how surgery performed by our world class team of physicians at the international craniofacial institute in dallas texas can improve your child s outlook on life. In a consecutive series of 50 patients with repaired bilateral complete cleft lip palate the revision rate was 33 as compared with 12 5 if the secondary palate is intact.

Again this can range from a small notch to a complete separation of the gum into two parts.