KMID : 0903220070080010033
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Journal of the Korean Cleft Palate-Craniofacial Association 2007 Volume.8 No. 1 p.33 ~ p.36
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Secondary Correction of Wide Philtral Deformity in the Bilateral Cleft Lip
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Park Chan-Young Kim Suk-Wha
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Abstract
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Purpose: Deformities after bilateral cleft lip repair usually involve the philtrum and the central upper lip, which presents as wide philtrum, wide Cupid¡¯s bow, whistling deformity and prominent prolabium. The object of this study is to introduce a simple method to correct such deformities of bilateral cleft lip, that is the redo-operation following the modified Millard¡¯s method.
Methods: We present 2 patients with secondary deformities of the philtrum and central upper lip after bilateral cleft lip repair. A simple design was used to excise the excessive skin and mucosa of the central upper lip, and the philtrum and Cupid¡¯s bow were restored to the standard average width of Korean population.
Results: The wide central upper lip and philtrum were successfully restored to the appropriate width(10-12mm) and shape. Also the border of the red vermilion was aligned properly resulting in a good contour of the upper lip. Both patients were satisfied with the results.
Conclusion: In patients with wide philtral deformities, our simple method can be utilized for a satisfying result.
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KEYWORD
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Bilateral cleft lip, Wide philtrum, Wide Cupid¡¯s bow, Whistling deformity
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