TY - JOUR
T1 - The effect of a small triangular skin flap on vermillion height after cleft lip repair
T2 - a photogrammetry study
AU - Wong, Ling Siew
AU - Lu, Ting Chen
AU - Chen, Philip Kuo Ting
PY - 2019/1/1
Y1 - 2019/1/1
N2 - During primary cleft lip repair, a small triangular flap of about 2 mm is sometimes required to achieve better symmetry of Cupid's bow. The aim of this study was to evaluate the symmetry of Cupid's bow, with and without the use of a small triangular skin flap (STSF). Forty-five children who underwent the repair of unilateral cleft lip between January 1999 and December 2000 were recruited. Twenty children had a STSF included in the repair (STSF group) an d 25 children underwent the same repair without the STSF (NSTSF group). Vermillion height was measured on the cleft and non-cleft sides using reference points. The t-test was used to compare the vermillion height ratio between the two groups. The mean age at surgery was 4 ± 1.3 months in the STSF group and 4.3 ± 0.6 years in the NSTSF group. There was no significant difference in vermillion height ratio at 5 years of age between the patients in the two groups. Thus, there is no difference in vermillion height ratio with or without a STSF in cleft lip repair. The use of a small triangular skin flap needs to be assessed carefully, as it will create an unsightly scar over the philtrum area.
AB - During primary cleft lip repair, a small triangular flap of about 2 mm is sometimes required to achieve better symmetry of Cupid's bow. The aim of this study was to evaluate the symmetry of Cupid's bow, with and without the use of a small triangular skin flap (STSF). Forty-five children who underwent the repair of unilateral cleft lip between January 1999 and December 2000 were recruited. Twenty children had a STSF included in the repair (STSF group) an d 25 children underwent the same repair without the STSF (NSTSF group). Vermillion height was measured on the cleft and non-cleft sides using reference points. The t-test was used to compare the vermillion height ratio between the two groups. The mean age at surgery was 4 ± 1.3 months in the STSF group and 4.3 ± 0.6 years in the NSTSF group. There was no significant difference in vermillion height ratio at 5 years of age between the patients in the two groups. Thus, there is no difference in vermillion height ratio with or without a STSF in cleft lip repair. The use of a small triangular skin flap needs to be assessed carefully, as it will create an unsightly scar over the philtrum area.
KW - cleft lip
KW - triangular flap
KW - vermillion height
UR - http://www.scopus.com/inward/record.url?scp=85062944544&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85062944544&partnerID=8YFLogxK
U2 - 10.1016/j.ijom.2019.02.021
DO - 10.1016/j.ijom.2019.02.021
M3 - Article
AN - SCOPUS:85062944544
JO - International Journal of Oral and Maxillofacial Surgery
JF - International Journal of Oral and Maxillofacial Surgery
SN - 0901-5027
ER -