Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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Repair of Complete Cleft Lip Using Extended Mohler Repair

완전 구순열에서 확장 Mohler법의 적용

  • Park, Young-Wook (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University)
  • 박영욱 (강릉원주대학교 치과대학 구강악안면외과학교실)
  • Received : 2012.04.25
  • Accepted : 2012.05.04
  • Published : 2012.05.30
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Abstract

In the repair of unilateral complete cleft lip, the most popular method is the rotation-advancement by Millard. Despite advantages of Millard repair, a few pitfalls exist. Above all, some of the scars, at the height of the cleft side philtral ridge, cross the Langer's line. Further, in the repair of complete cleft lip, small triangular lateral lip flap is often added in the base of an advancement flap to level the Cupid's bow. Moreover, preservation of the advancement flap has some negative effects on a primary nasal repair. As a result, the shape of philtrum is somewhat unnatural. Therefore, I applied the extended Mohler repair in the six cases of complete wide cleft lip to get a more esthetic scar. As a result, more natural, straight philtral ridge was obtained, without adding small triangular flap in the base of the advancement flap.

Keywords

References

  1. Stal S, Brown RH, Higuera S, et al. Fifty years of the Millard rotation-advancement: looking back and moving forward. Plast Reconstr Surg 2009;123:1364-77. https://doi.org/10.1097/PRS.0b013e31819e26a5
  2. Min BG, Lee SK, Park YW. Immunohistochemical detection of growth factors and extracellular matrix proteins in the degenerating tissues of pre- and postnatal human cleft lip and palate. J Korean Assoc Oral Maxillofac Surg 2002;28:421-33.
  3. Noordhoff MS. Reconstruction of vermilion in unilateral and bilateral cleft lips. Plast Reconstr Surg. 1984;73:52-61. https://doi.org/10.1097/00006534-198401000-00011
  4. Mohler LR. Unilateral cleft lip repair. Plast Reconstr Surg 1987;80:511-7. https://doi.org/10.1097/00006534-198710000-00005
  5. Cutting C. The extended Mohler unilateral cleft lip repair. In: Losee JE, Kirschner RE, editors. Comprehensive cleft care. New York: McGraw-Hill Medical; 2009. p.285-97.
  6. Mohler LR. Unilateral cleft lip repair. Oper Techniq Plas Reconstr Surg 1995;2:193-9. https://doi.org/10.1016/S1071-0949(95)80010-7
  7. Cutting CB, Dayan JH. Lip height and lip width after extended Mohler unilateral cleft lip repair. Plast Reconstr Surg 2003;111:17-23. https://doi.org/10.1097/00006534-200301000-00003