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KMID : 0358819890160020318
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1989 Volume.16 No. 2 p.318 ~ p.324
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NEW REPAIR OF THE OCCULT AND MILD DEGREE PARTIAL CLEFT LIPS
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Park Beyoung-Yun
Hwang Young-Joong
Ru Jae-Duk
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Abstract
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In the repaired cleft lips, the residual deformities and disfigurements make the patients hesitant to participate in society.
One reason is the scars over the whole length of the upper lip, especially in the occult or mild degree partial cleft lip. The Tinnison triangular flap or Millard rotation-advancement flap methods, have been too radical to put into pratice.
Frequently we meet patients and parents who complain about the scars on the repaired cleft lip in spite of the fine and good scars on the upper lip, particularly in the occult or mild degree partial cleft lip.
These authors propose a new technique which leaves only minimal, short scars on the upper lip for the occult or mild degree partial cleft lip. I performed this technique eight patients. The resutls are satisfactory.
We now briefly introduce this techniqus.
The incision was made just on the malaligned mucocutaneous junction or cleft margin, and then extended to the upper labial sulcus after the same design and tatooing with gentian violet by the Millard rotation-advancement method. Through this in cision the orbicularis oris muscles were undermined from the anterior nasal spine to the pyriform aperture of the alar base, but the skin of the upper lip was not incised, and then the C-flap on the non cleft side and B-flap on the cleft side beneath the skin were made on the orbicularis oris muscles only.
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