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Important Aspects of Oral Lining in Unilateral Cleft Lip Repair

Cited 9 time in Web of Science Cited 9 time in Scopus
Authors

Baek, Rong-Min; Lee, Sang Woo

Issue Date
2009-09
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Citation
JOURNAL OF CRANIOFACIAL SURGERY; Vol.20 5; 1578-1582
Keywords
Oral liningunilateral cleft lip
Abstract
To achieve an aesthetic lip in cleft lip repair, central fullness and slight eversion of the vermilion are necessary. If only cutaneous anthropometric length is considered, symmetry and good vermilion contour may be obtained, but a seemingly tightness of the lip can occur. To prevent this, it is necessary to obtain sufficient central mucosal tissue of the oral lining. The authors used 2 methods to obtain adequate tissue of the central area of the oral lining. First, the mucosa of the central area of the oral lining was supplemented using a medial mucosal flap, and the amount of superfluous tissue was minimized. Second, a relaxing incision was placed at the oral lining of the lateral flap, which was subsequently centrally advanced. A total of 389 patients with a unilateral cleft lip underwent surgery using these methods and achieved satisfactory results. Occasional cases of lateral vermilion bulging were encountered during long-term follow-up, but these were easily corrected by bulging excision. Consideration of the oral lining is essential in cleft lip repair. The authors were able to reconstruct an aesthetically pleasing lip with central fullness by obtaining an adequate amount of tissue in the central area of oral lining.
ISSN
1049-2275
Language
English
URI
https://hdl.handle.net/10371/78220
DOI
https://doi.org/10.1097/SCS.0b013e3181b0db12
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Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Plastic Surgery (성형외과학전공)Journal Papers (저널논문_성형외과학전공)
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