PMID: 11913681Mar 27, 2002Paper

Median cleft of the lower lip: report of two new cases and review of the literature

The Annals of Otology, Rhinology, and Laryngology
Tamer Seyhan, Hýdýrç Kýlýnr

Abstract

Median clefts of the lower lip and mandible are rare craniofacial clefts. Couronné in 1819 was the first to describe the condition. The midline cleft of the lower lip was classified by Tessier as a type 30 craniofacial cleft. Recently, the total number of the reported cases had increased to about 66 in the world literature. In addition, 2 more patients are presented here. The first case involves only a small notch in the vermilion; the deformity was treated by Z-plasty. In the second case, a midline incomplete cleft of the lower lip, a sublingual abnormal frenulum, a complete cleft in the mandible, a bifid sternum, a presternal skin tag, and a ventricular septal defect in the heart were present. At operation, Z-plasty of the lingual frenulum released the normal-sized tongue. The lip cleft was corrected by a simple V excision followed by closure in 3 layers. The mandibular segments were "vitalized" with a bone rongeur and immobilized in the predetermined position with an interosseous stainless steel wire. Because the bone fusion was complete, the stainless steel wire was taken out after 3 months so that it would not prevent mandibular development. Our treatment methods and others are discussed.

References

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Citations

Mar 5, 2013·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Parit LadaniRajesh Sabnis
Jun 21, 2005·Annales de chirurgie plastique et esthétique·I Turki-MehriD Ginisty
Nov 21, 2012·The Anatomical Record : Advances in Integrative Anatomy and Evolutionary Biology·José Francisco Rodríguez-VázquezJi Hyun Kim
Jul 13, 2012·American Journal of Medical Genetics. Part a·L P JakobsenN Tommerup
Nov 24, 2007·International Journal of Oral and Maxillofacial Surgery·S JankW Puelacher
Apr 22, 2005·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·Eksal KargiOrhan Babuccu
Apr 18, 2018·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Siddharth MahajanNeil Warshawsky
Nov 1, 2011·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Oluwaseun A Adetayo, Mark C Martin
Jun 1, 2005·Plastic and Reconstructive Surgery·Barry L EppleyA Michael Sadove
Feb 8, 2019·The Journal of Craniofacial Surgery·Qun LouYilai Wu
Jan 25, 2006·The Journal of Craniofacial Surgery·Yi-Qun ZhouZhe-Yuan Yu
Feb 18, 2012·The Journal of Craniofacial Surgery·Neil TannaJames P Bradley
Apr 22, 2005·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·Peter F DarcyWallace Ogufere
May 11, 2018·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Ahmed Ali Abdelrahim Ali
Mar 9, 2021·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Weidong LiuTengda Zhao

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