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Contributors: Larry Hartzell
Repair of the bilateral cleft lip deformity can be challenging to the cleft and craniofacial surgeon. The goals of an acceptable repair must include precise continuity of the cupid’s bow, maximizing philtral length, and establishing a mucosa lined sulcus. We present an example of a repair of the bilateral incomplete lip as described by Millard.
DOI: http://dx.doi.org/10.17797/qefi9lqbam
Bilateral cheiloplasty
Bilateral cleft lip
Medically unfit for general anesthesia. Poor nutrition for compromised healing.
6400 beaver blade
General plastics set up including calipers, straight beaver blade, and skin hooks
Pre-operative photos, Hemoglobin and hematocrit, preoperative parental counseling
External landmarks of the upper lip: Cupids bow, philtrum, philtral dimple, cutaneous white roll, wet and dry vermillion, nasal base.
Bleeding, infection, poor wound healing, unacceptable scarring.
none
1. Noordhoff, MS. (1986) Bilateral cleft lip reconstruction. Plastic and Reconstructive Surgery. Jul;78(1):45-54.
2. Oh, SJ. (2008) Reconstruction of bilateral cleft lip and nose deformity. Journal of Craniofacial Surgery. Sep;19(5):1353-8.
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