Modified Fisher method for unilateral cleft lip-report of cases

Maxillofacial Plastic and Reconstructive Surgery
Hui Young KimByoung Moo Seo

Abstract

Rehabilitation of normal function and form is essential in cleft lip repair. In 2005, Dr. David M. Fisher introduced an innovative method, named "an anatomical subunit approximation technique" in unilateral cleft lip repair. According to this method, circumferential incision along the columella on cleft side of the medial flap is continued to the planned top of the Cupid's bow in straight manner, which runs parallel to the unaffected philtral ridge. Usually, small inlet incision is needed to lengthen the medial flap. On lateral flap, small triangle just above the cutaneous roll is used to prevent unesthetic shortening of upper lip. This allows better continuity of the Cupid's bow and ideal distribution of tension. As a modification to original method, orbicularis oris muscle overlapping suture is applied to make the elevated philtral ridge. Concomitant primary rhinoplasty also results in good esthetic outcome with symmetric nostrils and correction of alar web. As satisfactory results were obtained in three incomplete and one complete unilateral cleft lip patients, indicating Fisher's method can be useful in cleft lip surgery with functional and esthetic outcome. Clinically applied Fisher's method in unilateral cleft lip patient...Continue Reading

References

Jan 1, 1964·Plastic and Reconstructive Surgery·D R MILLARD
Jul 1, 2005·Plastic and Reconstructive Surgery·David M Fisher
Jan 21, 2009·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·Baris CakirTayfun Akoz
Feb 3, 2011·Plastic and Reconstructive Surgery·Catherine J BoorerDavid M Fisher
Sep 17, 2011·Plastic and Reconstructive Surgery·David M Fisher, Brian C Sommerlad
Nov 19, 2013·The Journal of Craniofacial Surgery·Carolyn R RogersJohn B Mulliken
Jan 21, 2014·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Gregory S Antonarakis, David M Fisher
Mar 13, 2014·Clinics in Plastic Surgery·Mark D FisherJeffrey R Marcus

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Citations

Mar 15, 2018·Journal of the Korean Association of Oral and Maxillofacial Surgeons·Adekunle M AdetayoAzeez Butali
Dec 23, 2019·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Soyeon JungLun-Jou Lo
Feb 24, 2021·Plastic and Reconstructive Surgery·Rafael DenadaiLun-Jou Lo
Dec 23, 2021·Plastic and Reconstructive Surgery·Yassmin ParsaeiDerek Steinbacher

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