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

F. C.S. Chang, C. G. Wallace, Y. C. Hsiao, J. J. Huang, C. S.W. Liu, Z. C. Chen, P. K.T. Chen, J. P. Chen, Y. R. Chen

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)1254-1259
Number of pages6
JournalInternational Journal of Oral and Maxillofacial Surgery
Volume49
Issue number10
DOIs
Publication statusPublished - Oct 2020

Keywords

  • cheiloplasty
  • cleft lip and palate
  • lip reconstruction
  • orbicularis oris muscle
  • philtral ridge

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

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