Archives of Plastic Surgery

  • 제39권5호
  • /
  • Pages.470-476
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  • 2012
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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Surgical Correction of Whistle Deformity Using Cross-Muscle Flap in Secondary Cleft Lip

  • Choi, Woo Young (Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine) ;
  • Yang, Jeong Yeol (Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine) ;
  • Kim, Gyu Bo (Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine) ;
  • Han, Yun Ju (Graduate School of Chosun University)
  • 투고 : 2012.05.09
  • 심사 : 2012.08.01
  • 발행 : 2012.09.15
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초록

Background The whistle deformity is one of the common sequelae of secondary cleft lip deformities. Santos reported using a crossed-denuded flap for primary cleft lip repair to prevent a vermilion notching. The authors modified this technique to correct the whistle deformity, calling their version the cross-muscle flap. Methods From May 2005 to January 2011, 14 secondary unilateral cleft lip patients were treated. All suffered from a whistle deformity, which is characterized by the deficiency of the central tubercle, notching in the upper lip, and bulging on the lateral segment. The mean age of the patients was 13.8 years and the mean follow-up period was 21.8 weeks. After elevation from the lateral vermilion and medial tubercle, two muscle flaps were crossed and turned over. The authors measured the three vertical heights and compared the two height ratios before and after surgery for evaluation of the postoperative results. Results None of the patients had any notable complications and the whistle deformity was corrected in all cases. The vertical height ratios at the midline on the upper lip and the affected Cupid's bow point were increased (P<0.05). The motion of the upper lip was acceptable. Conclusions A cross muscle flap is simple and it leaves a minimal scar on the lip. We were able to reconstruct the whistle deformity in secondary unilateral cleft lip patients with a single state procedure using a cross-muscle flap.

키워드

참고문헌

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피인용 문헌

  1. Secondary Cleft Lip Reconstruction and the Use of Pedicled, Deepithelialized Scar Tissue vol.4, pp.10, 2012, https://doi.org/10.1097/gox.0000000000001061
  2. Correction of whistle deformity using autologous free fat grafting: first results of a pilot study and review of the literature vol.21, pp.4, 2012, https://doi.org/10.1007/s10006-017-0648-8
  3. Evidence-Based Medicine: The Bilateral Cleft Lip Repair vol.140, pp.1, 2012, https://doi.org/10.1097/prs.0000000000003474
  4. Whistle deformity evaluation after Cronin labioplasty in unilateral cleft lip and palate cases from an anthropometry aspect vol.1073, pp.None, 2018, https://doi.org/10.1088/1742-6596/1073/4/042003
  5. Assessing Attentional Bias in Secondary Cleft Lip Deformities: An Eye-Tracking Study vol.56, pp.2, 2012, https://doi.org/10.1177/1055665618775728
  6. Atypical Outcomes of Nasal and Lip Appearance After Unilateral Cleft Lip Repair: Judgment by Professionals, Patients, and Laypeople vol.58, pp.10, 2012, https://doi.org/10.1177/1055665620982801