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

@article{Yuzuriha2008MinorFormMA,
  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},
  year={2008},
  volume={122},
  pages={1485-1493}
}
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

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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.

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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.

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

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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.

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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.

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TLDR
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

TLDR
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

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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.

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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.
...

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