Correction of the bilateral cleft using the sliding sulcus technique

The Journal of Craniofacial Surgery
Michael H Carstens

Abstract

The morphology of the bilateral cleft lip can be understood in terms of process theory and field theory. The former holds that an initial event sets in motion processes of division, deficiency, displacement, and distortion; these act on the cleft site to convert a trivial defect into the final result seen at birth. Field theory describes embryonic units that are in disarray by virtue of the cleft. A subperiosteal technique is described that combines these concepts to achieve simultaneous closure of the lip and alveolus. Primary separation of the nasal tip from the philtral-columellar unit is carried out along embryonic fusion lines.

Citations

May 18, 2004·Clinics in Plastic Surgery·Michael H Carstens
Nov 4, 2009·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Ember L Ewings, Michael H Carstens
Jul 21, 2004·European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society·Michael H Carstens
Oct 4, 2006·Plastic and Reconstructive Surgery·David LeshemJohn H Phillips

❮ Previous
Next ❯

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.