Paracommissural cleft of the lower lip: Therapeutic strategy

We report the first case described in the literature of lateral, paracommissural cleft of the lower lip in a 2-year-old child. This anomaly caused labial incompetence requiring surgical correction. Different surgical techniques have been described for the treatment of the cleft of the upper lip. We...

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Bibliographic Details
Published inAnnales de chirurgie plastique et esthétique Vol. 63; no. 4; pp. 358 - 362
Main Authors Chauvel-Picard, J, Gleizal, A
Format Journal Article
LanguageFrench
Published France 01.07.2018
Subjects
Child, Preschool
Cleft Lip - surgery
Esthetics
Humans
Male
Reconstructive Surgical Procedures - methods
Malek plasty
Chéiloplastie
Millard plasty
Paracommissural cleft of the lower lip
Cheiloplasty
Tennisson plasty
Technique de Malek
Technique de Millard
Fente labiale inférieure para-commissurale
Technique de Tennisson
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Summary:We report the first case described in the literature of lateral, paracommissural cleft of the lower lip in a 2-year-old child. This anomaly caused labial incompetence requiring surgical correction. Different surgical techniques have been described for the treatment of the cleft of the upper lip. We studied each of them, analyzed the advantages and disadvantages of these techniques by inverting them and adapting them for the lower lip. We opted for the double "Z" plasty of Malek because the difference in height between the cleft side and the healthy side was important. In addition, this plasty hides part of the scar in the labiomental groove. The functional and aesthetic result at 6 months after surgery is satisfactory.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:1768-319X
DOI:10.1016/j.anplas.2018.02.005