Long-term comparison study of philtral ridge morphology with two different techniques of philtral reconstruction.

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Tytuł:: Long-term comparison study of philtral ridge morphology with two different techniques of philtral reconstruction.
Autorzy:: Chang FC; Department of Chemical and Materials Engineering, College of Engineering, Chang Gung University, Taoyuan, Taiwan; Craniofacial Research Centre, Department of Medical Research, Department of Plastic and Reconstructive Surgery and Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taoyuan, Taiwan; Department of Plastic Surgery, Xiamen Chang Gung Hospital, Xiamen, China.
Wallace CG; Craniofacial Research Centre, Department of Medical Research, Department of Plastic and Reconstructive Surgery and Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taoyuan, Taiwan; Department of Plastic Surgery, Royal Devon and Exeter Hospital, Exeter, UK.
Hsiao YC; Craniofacial Research Centre, Department of Medical Research, Department of Plastic and Reconstructive Surgery and Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Huang JJ; Craniofacial Research Centre, Department of Medical Research, Department of Plastic and Reconstructive Surgery and Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Liu CS; Department of Surgery, United Christian Hospital, Kwun Tong, Hong Kong.
Chen ZC; Craniofacial Research Centre, Department of Medical Research, Department of Plastic and Reconstructive Surgery and Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Chen PK; Craniofacial Research Centre, Department of Medical Research, Department of Plastic and Reconstructive Surgery and Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taoyuan, Taiwan; Department of Plastic and Reconstructive Surgery, Taipei Medical University Hospital, Taipei, Taiwan. Electronic address: .
Chen JP; Department of Chemical and Materials Engineering, College of Engineering, Chang Gung University, Taoyuan, Taiwan.
Chen YR; Craniofacial Research Centre, Department of Medical Research, Department of Plastic and Reconstructive Surgery and Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Źródło:: International journal of oral and maxillofacial surgery [Int J Oral Maxillofac Surg] 2020 Oct; Vol. 49 (10), pp. 1254-1259. Date of Electronic Publication: 2020 Jan 30.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: Copenhagen : Churchill Livingstone
Original Publication: Copenhagen : Munksgaard, c1986-
MeSH Terms:: Cleft Lip*/diagnostic imaging
Cleft Lip*/surgery
Plastic Surgery Procedures*
Facial Muscles/surgery ; Humans ; Lip/surgery ; Retrospective Studies
Contributed Indexing:: Keywords: cheiloplasty; cleft lip and palate; lip reconstruction; orbicularis oris muscle; philtral ridge
Entry Date(s):: Date Created: 20200203 Date Completed: 20201027 Latest Revision: 20221207
Update Code:: 20240105
DOI:: 10.1016/j.ijom.2020.01.015
PMID:: 32007356
: Czasopismo naukowe

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Cleft lip and/or cleft palate are the most common congenital craniofacial anomalies. Philtral ridge morphology is an important aesthetic component of unilateral cleft lip (UCL) repair. To this end, we have developed two techniques of philtral ridge reconstruction: (1) asymmetric mattress muscle sutures, and (2) overlapping mattress muscle sutures. The objective of this retrospective cohort study was to compare their outcomes in UCL repairs. Group I patients (n=30) underwent UCL repair before August 2003, including philtral ridge reconstruction by asymmetric mattress muscle sutures. Group II patients (n=30) underwent UCL repair after August 2003, including philtral ridge reconstruction by overlapping mattress muscle sutures. Philtral morphology was evaluated by ultrasonographic and three-dimensional photographic measurements, examining cleft side philtral projection and philtral ridge symmetry. These demonstrated that group II patients had better philtral column symmetry and projection on the cleft side when compared to group I. Overlapping mattress muscle sutures produced better philtral morphology in UCL repairs than asymmetric mattress muscle sutures.
(Copyright © 2020 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.)

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