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KMID : 0358819760030020109
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1976 Volume.3 No. 2 p.109 ~ p.115
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Longitudinal Study of Growth of Repaired Cleft Lip in Korea
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全泰俊/Cheum, Tae Joon
李英鎬/柳在德/Lee, Young Ho/Lew, Jae Duck
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Abstract
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More than 20 centuries of thought, ingenuity and skill have been brought to bear on -the defects known as cleft lip. The earliest known records of surgical attempts to correct this congenital defects date back to the beginning of the Christian era. But the surgical repair of cleft lip is one of the most challenging procedures forced by the plastic surgeons and also one of the most fascinating. In 1952, Tennison presented his method for cleft lip repair using a Z-incision and the result was so outstanding that the Tennison method has been modified by Marks (1953) and Randall (1959) to improve. This method of repair is now being popularized for all single or double primary clefts. -Due to economic and social circumstances in Korea, the facial clefts are sometimes left -untreated or severely deformed due to unfavorable surgery till 1963 when the triangular flap method was introduced by Lew. This paper will discuss the growtn of normal -clefted and/or repaired lips by superficial topographycal measurement of the vertical and horizontal length of the lips.
Total of 240 cleft lip patients studied, composed with 80 of complete, 80 of incomplete
cleft lips, 40 of straight-line closure lips, and 40 of triangular flap closure lips. Total
-of 40 cases of normal lips various age groups were studied for comparison. The results can be summarized as follows:
1. The average vertical length of upper lip of normal infants is 9.2mm in male and 8.8 mm in female, and of adults, 15. 6mm in male and 15. 1mm in female. The average horizontal length of the lip in infants is 27.6mm in male and 26.5mm in female, and in adults 46.8mm in male and 44.9mm in female.
´2. There is no difference in the vertical Lengths between Non-cleft side of the cleft lips and the normal lips.
3. The vertical length of repaired cleft lip by the straight-line closure is much short and restricted in growth leaving noticeable cleft lip appearance by post operative, sequelae.
4. The over all result of repaired cleft lips by modified Triangular flap method is most acceptable on account of growth, function, and appearance of the lips.
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