The small triangular flap and lip adhesion as adjunctive management of unilateral complete cleft lip

Perfect correction is not easy in the complete cleft lip patient. Lip adhesion without presurgical orthopedic appliance was performed on 8 consecutive infants with unilateral complete cleft of the primary palate before definitive lip repair with Millard I procedure modified by using small triangular flap. 6 patients were complete unilateral cleft lip and 2 patients were complete cleft lip and palate. Lip adhesions were performed at 1–2 months of age and definitive repair was done at 5 – 6 months of age. Lip adhesions were performed by Randall’s method and Millard I technique modified by using small triangular flap were used for cheiloplasty. Satisfactory result of lip and nose were obtained aesthetically in 8 cases after an average follow-up of 32 months. The vertical height of the medial and lateral lip segments were a symmetric appearance, while the vermilion tubercle, philtrum, and Cupid’s bow were natural. However, 1 more operation needed with more scar adhesion at operation site. In conclusion, preliminary lip adhesion can have better functional, aesthetic and emotional results since the disadvantages are minor compared to the advantages Multidisciplinary clinical care is beneficial to children born with a facial cleft. This is a team-based strategy that allows for efficient care coordination across all elements. Other concerns, in addition to lip repair, include hearing, speech, dental, and psychosocial integration. From infancy to puberty, complete care can be provided using a multidisciplinary approach as the child matures. Multidisciplinary clinical care is beneficial to children born with a facial cleft. This is a team-based strategy that allows for efficient care coordination across all elements. Other concerns, in addition to lip repair, include hearing, speech, dental, and psychosocial integration. From infancy to puberty, complete care can be provided using a multidisciplinary approach as the child matures. Each specialist participating in the case must assess the youngster individually and devise a treatment strategy. The team then creates a combined individual integrated procedure that adheres to the American Cleft Palate-Craniofacial Association's Parameters of Care Guidelines.

Author(s): Daehwan Park

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