Journal of Cleft Lip Palate and Craniofacial Anomalies

STATE OF THE ART
Year
: 2019  |  Volume : 6  |  Issue : 1  |  Page : 3--10

Reoperation of bilateral cleft lip deformity after primary Manchester or Veau III repair


Maurice Y Mommaerts1, Ana Tache1, Natalie A. J. Loomans2 
1 European Face Centre, Universitair Ziekenhuis Brussel, Brussels, Belgium
2 Cleft Center, GZA Hospitals, Antwerp, Belgium

Correspondence Address:
Prof. Maurice Y Mommaerts
European Face Centre, Universitair Ziekenhuis Brussel, VUB, Laarbeeklaan 101, B-1090, Brussel
Belgium

Residual bilateral cleft lip deformities are commonly attributed to neglect of oral sphincter reconstruction during primary repair. This report describes a straightforward technique for reoperation that is applicable for most patients. It also describes the results of a retrospective observational cohort study of 21 patients that underwent reoperation performed by the senior author (MYM) from 1991 to 2018. The patients had undergone primary lip repair at other institutions. Their mean age at reoperation was 17 years. Pre- and post-operative photographs (at 3.5 years' postoperation) were assessed for 15 parameters. Overall configuration, scar appearance, philtrum anatomy, Cupid's bow shape, and esthetic aspects of lip dynamics improved considerably. This procedure is the same as that used by the authors in 4-month-old children who have undergone a nasolabial adhesion procedure at 4 weeks of age. We discuss the rationale of using this procedure for primary lip repair, thus eliminating the need for reoperation.


How to cite this article:
Mommaerts MY, Tache A, Loomans NA. Reoperation of bilateral cleft lip deformity after primary Manchester or Veau III repair.J Cleft Lip Palate Craniofac Anomal 2019;6:3-10


How to cite this URL:
Mommaerts MY, Tache A, Loomans NA. Reoperation of bilateral cleft lip deformity after primary Manchester or Veau III repair. J Cleft Lip Palate Craniofac Anomal [serial online] 2019 [cited 2019 Aug 26 ];6:3-10
Available from: http://www.jclpca.org/article.asp?issn=2348-2125;year=2019;volume=6;issue=1;spage=3;epage=10;aulast=Mommaerts;type=0