DOI QR코드

DOI QR Code

Repair of Unilateral Incomplete Lesser Form Cleft Lip

편측성 불완전 소구순열의 치료

  • Park, Hye Jeong (Department of Oral and Maxillofacial Surgery, Oral Science Center, College of Dentistry, Yonsei University) ;
  • Jung, Hwi-Dong (Department of Oral and Maxillofacial Surgery, Oral Science Center, College of Dentistry, Yonsei University) ;
  • Mulliken, John Butler (Department of Plastic and Oral Surgery, Children's Hospital Boston) ;
  • Jung, Young-Soo (Department of Oral and Maxillofacial Surgery, Oral Science Center, College of Dentistry, Yonsei University)
  • 박혜정 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 정휘동 (연세대학교 치과대학 구강악안면외과학교실) ;
  • ;
  • 정영수 (연세대학교 치과대학 구강악안면외과학교실)
  • Received : 2013.02.17
  • Accepted : 2013.05.15
  • Published : 2013.05.31

Abstract

Cleft lip arises from congenital underdevelopment with various degrees and patterns. Mulliken named a unilateral incomplete cleft lip with no severe cleft as a lesser-form cleft lip and categorized it into three subgroups. Anatomically categorized subgroups are minor-form, microform, and mini-microform cleft by the extent of vermilion-cutaneous dysjuntion. The vermillion cutaneous notch is more than 3 mm from the regular Cupid's bow peak for minor-form, less than 3 mm for microform, and almost no gap with discontinuity on the vermillion cutaneous border for mini-microform. The treatments are rotational advancement flap for minor-form, double unillimb Z-plasty for microform, and vertical lenticular excision for mini-microform, respectively. This article aims to present the literature review about the incomplete lesser form cleft lip classified by Mulliken and to report our experiences.

Keywords

References

  1. Byun TH, Uhm KI. Classification and treatment of the microform cleft lip. Arch Plast Surg 1995;22:788-800.
  2. Yuzuriha S, Mulliken JB. Minor-form, microform, and mini-microform cleft lip: anatomical features, operative techniques, and revisions. Plast Reconstr Surg 2008;122:1485-93. https://doi.org/10.1097/PRS.0b013e31818820bc
  3. Yuzuriha S, Oh AK, Mulliken JB. Asymmetrical bilateral cleft lip: complete or incomplete and contralateral lesser defect (minor-form, microform, or mini-microform). Plast Reconstr Surg 2008;122:1494-504. https://doi.org/10.1097/PRS.0b013e318189169b
  4. Millard DR Jr, editor. Cleft craft: the evolution of its surgery. Vol 1. The unilateral deformity. Boston: Little Brown; 1976.
  5. Thomson HG, Delpero W. Clinical evaluation of microform cleft lip surgery. Plast Reconstr Surg 1985;75:800-4. https://doi.org/10.1097/00006534-198506000-00005
  6. Onizuka T, Hosaka Y, Aoyama R, et al. Operations for microforms of cleft lip. Cleft Palate Craniofac J 1991;28:293-300. https://doi.org/10.1597/1545-1569(1991)028<0293:OFMOCL>2.3.CO;2
  7. Mulliken JB. Double unilimb Z-plastic repair of microform cleft lip. Plast Reconstr Surg 2005;116:1623-32. https://doi.org/10.1097/01.prs.0000187144.23422.10
  8. Park CS, Uhm KI, Hwang SH, Ahn DK, Kim IG. The treatment of microform cleft lip patients according to the classification. Arch Plast Surg 1999;26:433-9.