Minor-Form, Microform, and Mini-Microform Cleft Lip: Anatomical Features, Operative Techniques, and Revisions

  title={Minor-Form, Microform, and Mini-Microform Cleft Lip: Anatomical Features, Operative Techniques, and Revisions},
  author={Shunsuke Yuzuriha and John Butler Mulliken},
  journal={Plastic and Reconstructive Surgery},
BACKGROUND Whatever method of closure, a cleft lip scar extends along the full labial height. [] Key MethodMETHODS The senior author's (J.B.M.) registry was searched for patients with lesser-form cleft lip, defined by the extent of vermilion-cutaneous dysjunction as either minor-form, microform, or mini-microform. Techniques for repair of these three anatomical variants were examined and the revisions were analyzed.

Refined New Technique for Correction of the Minor-Form, Microform Cleft Lip and Minor-Form Bilateral Cleft Lip through the Intraoral Incision and Long-Term Results

  • B. Cho
  • Medicine
    Plastic and reconstructive surgery
  • 2011
A more refined technique is reported using interdigitation of the orbicularis oris muscle to create a philtrum through an intraoral incision to avoid an external scar in the treatment of the microform cleft lip.

Strategic management of the minor-form and microform cleft lip: A long-term outcome assessment.

  • K. ChungL. Lo
  • Medicine
    Journal of plastic, reconstructive & aesthetic surgery : JPRAS
  • 2020

Minor-Form/Microform Cleft Lip Repair: The Importance of Identification and Utilization of Cupid Bow Peak on the Lateral Lip

The importance of preserving the remaining normal structure, particularly the curve of the white roll on the lateral lip, is emphasized, and it is suggested that the peak of the curve should be defined as Cupid bowpeak of the cleft side.

Repair of Unilateral Incomplete Lesser Form Cleft Lip

The literature review about the in complete lesser form cleft lip classified by Mulliken is presented and the experiences are reported to report.

The V-shaped mini flap method for microform cleft lip repair

A new operative technique for microform cleft lip repair via the use of a V-shaped flap method, using the vermillion border serving as the vertex to correct philtrum ridge deviation and nasal alar base lateral deviation is devised.

Asymmetrical Bilateral Cleft Lip: Complete or Incomplete and Contralateral Lesser Defect (Minor-Form, Microform, or Mini-Microform)

The operative strategy for repair of an asymmetrical bilateral cleft lip is determined by the extent of the vermilion-cutaneous dysjunction on the lesser side.

Tailored Microform Cleft Lip Repair: Personalizing Small Incisions, Orbicularis Reconstruction, and Rhinoplasty.

The method of combining labial muscle reconstruction through a personalized, small incision effectively corrects microform cleft lip deformity with minimal scar burden.

Upper Triangular Flap Method for Primary Repairs of Incomplete Unilateral Cleft Lip Patients: Minor to Two-Thirds Way Defects

The upper triangular flap method is recommended as an alternative to conventional methods for repair of minor to two-thirds way incomplete unilateral cleft lips.

Lesser Forms of Cleft Lip Associated With the Branchio-Oculo-Facial Syndrome

This analysis reaffirms the high frequency of CL or CL/P in BOFS and the rarity of isolated cleft palate and underscores that the term "pseudocleft" lip is incorrect.

Long-Term Outcomes of the Minimal Skin Incision Technique for Correcting Severe Microform and Minor-Form Cleft Lip With Philtrum Reconstruction Through the Intraoral Incision.

The technique adopted here causes minimal scarring, facilitates the formation of an anatomical philtrum, preserves the continuity and function of the muscle, and presents sufficient elevation of the philtral column.



Double Unilimb Z-Plastic Repair of Microform Cleft Lip

  • J. Mulliken
  • Medicine
    Plastic and reconstructive surgery
  • 2005
Double unilimb Z-plasty corrects the vertical asymmetry in a microform cleft lip while limiting the scar to the lower one-half of the lip.

The principle of rotation advancement for repair of unilateral complete cleft lip and nasal deformity: technical variations and analysis of results.

In the last 5 years, as compared with the earlier decade, there was a significantly diminished incidence of patients requiring labial revision and alar suspension, although dentofacial orthopedics may also have played a role.

The spectrum of minimal clefting: process-oriented cleft management in the presence of an intact alveolus.

  • M. Carstens
  • Medicine
    The Journal of craniofacial surgery
  • 2000
A rational basis is presented for the surgical management of minimal clefting in its varying manifestations using the model of embryonic fields in which midline structures develop with paired, fused A fields.

Minimal cleft lip. Comparison of associated abnormalities.

  • R. Ranta
  • Medicine
    International journal of oral and maxillofacial surgery
  • 1988

Clinical evaluation of microform cleft lip surgery.

A modified Williams method for assessing cleft lips was employed and in 20 patients the results appear to have justified the surgery, but in the remaining 4, who were less seriously deformed, the perceived improvement was minimal or even nonexistent.

Augmentation of the nasal floor with Surgicel in primary lip repair: a prospective study showing no efficacy.

A prospective study performed in 64 primary lip repairs by comparing the effect of subperiosteal nasal floor augmentation with Surgicel shows a possible benefit from the use of osteogenic materials in the primary management of the deficient nasal floor.

Cleft Craft: The Evolution of Its Surgery, vol 1: The Unilateral Deformity

This remarkable book is the first of three volumes on cleft lip, cleft palate, and associated deformities written by one of the foremost authorities in the specialty of plastic surgery today. In

Operations for microforms of cleft lip.

The severity of microform cleft lip may be defined by the degree of downward depression of the nostril rim, skin striae of the upper lip, notching of Cupid's bow, and deformity of the vermilion border.

Nostril asymmetry: microform of cleft lip palate? An anthropometrical study of healthy North American caucasians.

Twenty-one of 1312 persons revealed severe degrees of nostril asymmetry characterized by uneven level of the alar base, asymmetries in the width of the nostril floor and length of the columella, and deviations in the Columella and nasal bridge.

Nasal deformity and microform cleft lip in parents of patients with cleft lip.

  • A. SiglerD. S. Ontiveros
  • Medicine
    The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
  • 1999
This study of three case histories identified nasal and lip deformities in the patients' parents and suggested genetic evaluations of children with complete and incomplete cleft lips might also include thorough evaluation of their parents.