Document Detail

Mulliken method of bilateral cleft lip repair: anthropometric evaluation.
MedLine Citation:
PMID:  16217463     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Simultaneous surgical correction of bilateral cleft lip and nasal deformity is becoming more common. This is a major change from the conventional strategy of secondary nasal correction.
METHODS: Thirty patients with bilateral cleft lip and nasal deformity were repaired using the Mulliken method between July of 1997 and December of 2002. This series was composed of 10 infants with bilateral complete cleft lip, 12 with bilateral incomplete cleft lip, and eight with bilateral asymmetric cleft lip, defined as complete on one side and incomplete on the other. A preoperative orthopedic appliance was employed in five infants who had severe collapse of the lateral maxillary segments. Mean age at the time of repair was 3.8 months.
RESULT: Postoperative results were evaluated anthropometrically. The mean follow-up period was 3.8 years (range, 1.2 to 5.5 years). Nasal tip protrusion was low; interalar dimension was wide; columellar length was slightly short; upper cutaneous labial height was short; and vermilion-mucosal height was near normal. All anthropometric values approached controls by 5 years.
CONCLUSION: Our modified Mulliken method is effective in correction of all forms of bilateral cleft lip and nasal deformity. Further evaluation is needed for possible differences in outcome based on race and age at the time of operation.
Seok-Kwun Kim; Jang-Ho Lee; Keun-Cheol Lee; Jung-Min Park
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  116     ISSN:  1529-4242     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-10-11     Completed Date:  2006-02-21     Revised Date:  2014-10-13    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1243-51; discussion 1252-4     Citation Subset:  AIM; IM    
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MeSH Terms
Cleft Lip / surgery*
Lip / anatomy & histology,  growth & development
Nasal Septum / surgery
Nose / anatomy & histology,  growth & development
Oral Surgical Procedures / methods*
Retrospective Studies
Treatment Outcome
Comment In:
J Craniofac Surg. 2012 Mar;23(2):619   [PMID:  22446433 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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