Evaluation of unilateral cleft lip repairs and the evolution of a new technique based on experience and research
MSc, Plastic and Reconstructive Surgery, Faculty of Health Sciences, University of the Witwatersrand === Evolution of cleft lip repair has been ongoing for many years. The reason for the various techniques stems from the advances relevant to function and aesthetics of the repair. Unfortunately, t...
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| Format: | Others |
| Language: | en |
| Published: |
2011
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| Subjects: | |
| Online Access: | http://hdl.handle.net/10539/9456 |
| Summary: | MSc, Plastic and Reconstructive Surgery, Faculty of Health Sciences, University of the Witwatersrand === Evolution of cleft lip repair has been ongoing for many years.
The reason for the various techniques stems from the advances
relevant to function and aesthetics of the repair.
Unfortunately, the literature does not reveal the long term
results of many of these procedures with reference to normal
lip anthropometrics. The reason for this is that the normal lip
anthropometrics have not been adequately described. This study
aims to describe a new technique for unilateral cleft lip
repair and to substantiate its evolution by comparing it to the
normal upper lips as well as to the most popular current
technique of cleft lip repair (Millard technique). This will
be done by the following steps:
1. Evaluate the most commonly used current technique of
unilateral cleft lip repair (Millard rotation
advancement), both objectively and subjectively.
2. Assess the normal anthropometric measurements of the
horizontal lip dimensions.
a. To assess normal horizontal lip dimensions according to
different age categories to serve as reference values
for further studies.
b. To assess the timing where the lip is fully developed.
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c. To assess Cupid’s bow length in relation to horizontal
lip length at different ages, thereby assessing dynamic
changes with growth.
3. Compare the currently used technique of unilateral cleft
lip repair to normal values indicating the anatomical
drawbacks to the technique.
4. Describe a new technique for unilateral cleft lip repair
which eliminates some of the unwanted drawbacks of the
Millard technique.
This new technique has the distinct advantage of maintaining
better lip symmetry and not breaching anatomical landmarks of
the lip. This technique is referred to as the straight line
repair and is easy to teach and the results are reproducible |
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