BACKGROUND Median cleft lip is a rare anomaly consisting of a midline vertical cleft through the upper lip. It can also involve the premaxillary bone, the nasal septum, and the central nervous system. In our current report, we present the clinical features of 6 patients with a median cleft lip and their surgical management according to the accompanying anomalies. METHODS From December 2010 to...

The Dallas surgical protocol for primary bilateral cleft lip/nose repair depends on the anatomy of the deformity. In cases of asymmetric bilateral clefts, an extremely small prolabium (<6 mm in vertical high) or a displaced premaxilla, a 2-stage lip repair was performed. At the same time, assessment of the tissue available for the columella determined the approach to the nose. In this part, the...

Objective: Secondary correction of cleft lip-nose presents a formidable challenge in cleft lip and palate surgery. Although numerous approaches have been proposed, suitable graft materials cannot be obtained from any part of body or the artificial biomaterials. We have established implant-type tissue-engineered cartilage using a porous scaffold comprised of poly L-lactic acid. The aim of this s...

Composite chondrocutaneous grafts were applied to 12 patients in various forms to repair the columellar deficit, to form the nasal tubercle and nostril sill in cleft lip nose patients. Cleft lip-nose deformity patients with alar cartilage hypoplasia, obtuse angulation of the medial and lateral crura and the resulting plica vestibularis, internal nasal valve problems associated with the weakness...

Amniotic band syndrome (ABS) is an uncommon congenital malformation characterized by clubfoot deformity, hand and finger anomalies, and cleft lip and palate. In this study, the literature about ABS—possible etiology, treatment protocols, and medical procedures—is discussed. The aim of this study was to evaluate efficiency of nasoalveolar molding therapy for a patient with cleft lip and palate a...

Tessier cleft no. 30 is a rare congenital anomaly. It may range in severity from median cleft of the upper and lower lip to cleft of the manubrium sterni involving the mandible, floor of the mouth, tongue, hyoid bone, thyroid cartilage and strap muscles. Ankyloglossia and median web in the neck extending from chin resulting in neck contracture are frequently found. This is a case report of medi...

Almost half a century ago, Tennison (1) proposed a triangular flap cleft lip repair that for the first time preserved the existing lip elements and permitted the creation of a normal Cupid’s bow. Brauer (2) and Randall (3) are better known for improving this original concept, but Millard (4) credits Marcks for popularizing Tennison’s method while developing his own Z-plasty modification. Trevas...

Nonsyndromic cleft lip & palate is a congenital deformity of multifactorial origin. Various etiologic candidate genes have been reported with conflicting results, according to the race and population studied. Numerous efforts made understand etiology cleft/palate so as predict its occurrence thus enable prevention. The FGF regulation pathway also plays major role in craniofacial development. FG...