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Journal of Zhejiang University SCIENCE A 2001 Vol.2 No.3 P.325-328

http://doi.org/10.1631/jzus.2001.0325


FRONTAL COLUMELLAR FLAP IN UNILATERAL CLEFT LIP REPAIR


Author(s):  LIU Ru, ZHAO Xiong, YANG Li-li

Affiliation(s):  Plastic Surgery, Children's Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China; more

Corresponding email(s): 

Key Words:  cleft lip repair, columellar flap, Mohler's procedure


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LIU Ru, ZHAO Xiong, YANG Li-li. FRONTAL COLUMELLAR FLAP IN UNILATERAL CLEFT LIP REPAIR[J]. Journal of Zhejiang University Science A, 2001, 2(3): 325-328.

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Abstract: 
The authors modified the design of Mohler's method of cleft lip repair, and attempted to make this method more reasonable, standard and surgically applicable, yield better outcome and to broaden the indications. In the modified Mohler technique, wherein designing and dissecting of the flap and the orbicular oris muscle are done separately, the author created an equilateral triangle flap (side≤6mm) from the frontal part of the columella.The flap is rotated and displaced downwards so that the atrophic philtral dimple is lengthened, the philtral column is reconstructed in such a way that the involved side of the Cupid's bow peak is restored to the normal position. From 1998 to 2000, the authors used this modified method to correct unilateral cleft lips in 38 patients. The results showed that the skin of the frontal columella and that of the philtral dimple were structurely similar, and so is ideal material for repairing the atrophied philtral dimple. The modified Mohler method for unilateral cleft lips can produce a better lip contour and broaden the indications.

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Reference

[1] Janusz Bardach, Kenneth, E.Salyer,1987. Surgical Techniques in Cleft Lip and Palate. Chicago. Year Book Medical Publishers Inc., London, p.11-45.

[2] Honigmann,K., 1980.Experience with the Reichert procedure in closure of unilateral cleft lips.Plast Reconstr. Surg. 65:164-166.

[3] Mohler, L.R., 1987. Unilateral cleft lip repair. Plast Reconstr Surg. 80(4): 511-516.

[4] Noordhoff, M.S.,2000. The Surgical Technique For The Unilateral Cleft Lip-Nasal Deformity. First. Ed. Noordhoff Craniofacial Foundation Taipei. p.44.(in Chinese).

[5] Song Ruyao,Liu Chunming, MA Haihuan,et al., 1999. Cleft lip repair using a lateral columellar flap. Chin J Plast Surg Burns, 15(5):325-328 (in Chinese, with English abstract).

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