Document Detail

Median cleft of the lower lip: report of two new cases and review of the literature.
MedLine Citation:
PMID:  11913681     Owner:  NLM     Status:  MEDLINE    
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.
Tamer Seyhan; Hýdýrç Kýlýnr
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The Annals of otology, rhinology, and laryngology     Volume:  111     ISSN:  0003-4894     ISO Abbreviation:  Ann. Otol. Rhinol. Laryngol.     Publication Date:  2002 Mar 
Date Detail:
Created Date:  2002-03-26     Completed Date:  2002-04-09     Revised Date:  2006-05-15    
Medline Journal Info:
Nlm Unique ID:  0407300     Medline TA:  Ann Otol Rhinol Laryngol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  217-21     Citation Subset:  AIM; IM    
Department of Plastic and Reconstructive Surgery, Ankara Numune Hospital, Turkey.
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MeSH Terms
Abnormalities, Multiple / classification,  diagnosis*,  embryology,  epidemiology,  surgery
Bone Wires
Branchial Region / abnormalities,  embryology
Cleft Lip / classification*,  diagnosis*,  embryology,  epidemiology,  surgery
Gestational Age
Heart Septal Defects, Ventricular / diagnosis
Mandible / abnormalities*,  radiography,  surgery
Pregnancy Trimester, First
Reconstructive Surgical Procedures / methods
Severity of Illness Index
Tomography, X-Ray Computed

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