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KMID : 0355620220480060390
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Journal of Korean Association of Oral and Maxillofacial Surgeons
2022 Volume.48 No. 6 p.390 ~ p.396
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Surgical correction of cleft lip lower-lip deformity: a report of three cases
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Kim Ci-Young
Choi Jin-Young
Ha Sung-Ho
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Abstract
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Cleft lip lower-lip deformity is a secondary deformity in patients who underwent primary cheiloplasty of the upper lip, characterized by an enlarged and anteriorly rotated lower lip. In these cases, soft-tissue imbalances remain even after skeletal correction with orthognathic surgery, and additional soft tissue treatment is required for lip harmony and esthetic facial balance in CLP (cleft lip palate) patients. This study describes three cases of transverse myomucosal excision of the lower lip for correction of cleft lip lower-lip deformity to restore facial esthetic balance. Each patient underwent orthognathic surgery, rhinoplasty, or upper lip revision cheiloplasty according to condition. Postoperatively, volume of the lower lip decreased and lip harmony was improved in all three patients. The surgeon should fully understand the anatomical structure around the lips and be able to evaluate overall harmony of the soft tissue. When a lower lip deformity is present, careful surgical planning and execution are important for each patient.
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KEYWORD
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Cleft lip lower-lip deformity, Secondary lip deformity, Lip reduction cheiloplasty, Lip harmony, Cleft lip and palate
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