background: this study aimed to assess dermis fat graft (dfg) as a choice to correct the tissue deficit in the free border of the upper lip in cleft lip repair surgery. materials and methods: thirty?five individuals who referred to alzahra hospital at 2013–2014,with lip deformity following the primary repair surgery of cleft lip underwent surgery by dfg technique. outcomes were assessed 4 month...

The purpose of this study is to evaluate the surgical outcome after using composite grafts for secondary cleft lip nasal deformities. A retrospective cohort study of one surgeon's outcome of 35 consecutive performed secondary cleft lip nasal deformity repair. Thirty-five patients with secondary nose deformity related to unsatisfactory cleft lip repair were operated using the proposed surgical t...

BACKGROUND The whistle deformity is one of the common sequelae of secondary cleft lip deformities. Santos reported using a crossed-denuded flap for primary cleft lip repair to prevent a vermilion notching. The authors modified this technique to correct the whistle deformity, calling their version the cross-muscle flap. METHODS From May 2005 to January 2011, 14 secondary unilateral cleft lip p...

Secondary deformities are common in children born with a cleft lip and palate. Patients with cleft lip deformity will undergo multiple surgical procedures early in life, so it is imperative to prioritize treatment of their secondary deformities and minimize the number of interventions needed. Of the many approaches used to correct these problems, surprisingly few work well consistently. As with...

For both unilateral and bilateral cleft lip nasal deformity, the general trend has been toward operation on the cleft lip nose at the time of initial lip surgery. Secondary surgery to further modify the nasal shape is often necessary, and many patients desire complete septorhinoplasty in their teen years. Many different procedures have been suggested to address the problem, but few techniques h...

Patients who undergo corrective surgery for cleft lip are known to be at risk for subsequently developing secondary nasal deformity. The aim of this study was to investigate the effects of Y-shaped conchal cartilage transplantation on the correction of nasal deformity secondary to cleft lip and its influence on mental health. Sixteen patients with nasal deformity secondary to cleft lip admitted...

The diversity of secondary deformities following repair of the cleft lip and nose is striking. The deformities reflect the wide variety of surgical techniques used to repair the cleft lip and the cleft lip nose. Secondary deformities of the repaired cleft lip and nose result from several distinct but related components: congenitally abnormal tissues; surgically modified tissues; the innate tend...

The choice of CPT code first depends upon whether the procedure is primary, secondary or performed for a cleft lip nasal deformity. If the nose has never undergone previous surgery, the procedure is considered primary; if a previous procedure has been performed, whether by you or by another surgeon, then the current operation is considered secondary. Separate codes describe procedures performed...

Primary surgery of cleft lip and palate has dramatically improved with technical and material advances. Some adults who previously underwent surgery still have upper lip deformities or extensive scar, and they are occasionally seen for secondary treatment. We reported a case of unilateral cleft lip patient who had extensive scar involving the central 1/4 of the upper lip, with gross lip and nas...

BACKGROUND Severity of the primary unilateral cleft lip/nose deformity (UCL/N) is postulated to play a key role in postoperative complications, aesthetic result, and need for secondary surgery. There is no validated and widely accepted classification scheme of initial cleft severity. The purpose of this study was to validate the Unilateral Cleft Lip Cleft Severity Index as a reliable tool for e...