OBJECTIVE To analyze the secondary cleft lip deformities and the possible causes in a cohort of cases. STUDY DESIGN A case series. PLACE AND DURATION OF STUDY Services Institute of Medical Sciences and WAPDA Teaching Hospital Complex, Lahore, from September 2008 to March 2012. METHODOLOGY Consecutive cases of secondary unilateral cleft lip deformities were selected for the study. These ca...

Cleft of the lip, alveolus and palate (CLAP), is a complex facial deformity, which requires multiple surgeries and bone grafting to correct the defect. Active or passive Pre surgical Orthopedic Molding reduces the deformity and thus reduces number of surgeries to achieve superior post surgical esthetic. Pre-surgical nasoalveolar molding (PNAM) is passive molding which align and approximate the ...

A whistle deformity is defined as a deficiency in the vertical length of the lip so that the free margins of the upper and lower lips do not meet normally, giving the appearance of whistling. This is a common secondary deformity of the vermilion in patients with cleft lip. A case involving a 61-year-old man who developed a whistle deformity as a result of two wedge resections and postoperative ...

OBJECTIVE The purpose of this study was to evaluate the symmetry in lip and vermillion height after using the double unilimb Z-plasty method for whistler deformity repair. DESIGN This is a retrospective audit of 1 surgeon's outcome of 52 consecutive performed whistler deformity repairs. SETTING Data from the Outreach Surgical Center Program, Lima, Peru, were used. PATIENTS Since 2009, 52 ...

Introduction: Cleft lip and palate, the most common developmental deformity, is seen worldwide and the etiology involves a combination of genetic and environmental factors. The purpose of this study was to determine the maternal risk factors associated with the development of cleft lip and cleft palate. Materials and Methods: We conducted a case control study at the Women’s Hospital in Culiacan...

In adult cases of bilateral cleft lip nasal deformity, an esthetically satisfying result can not be obtained only by manipulation inside the nose with the nasal tip pointing upward. The nasal tip should be made in a more anterior direction for nasal esthetic improvement. Additional tissue beyond the nose is needed, and the forked flap is a useful method in such cases. However, the blood circula...

OBJECTIVES The aim of this study was to compare nostril height, width, collumelar length, interalar distance and nostril symetry between unilateral complete cleft lip/palate patients undergoing nasoalveolar moulding (NAM) and incomplete cleft lip patients/palate with no need of presurgical moulding before and after cheiloplasty with primary nasal correction. Our study group included 18 patients...

Facial cleft is the second most common congenital deformity. Problems of cleft can be related to esthetic, phonetics, functional insufficiency, emotional, psychological and social. Significant abnormality in nasal cartilage morphology and asymmetry of alar base and columella are associated with cleft lip and alveolar deformity. Pre Nasoalveolar molding (PNAM) is a nonsurgical method of reshapin...

The Maintenance of Certification module series is designed to help the clinician structure his or her study in specific areas appropriate to his or her clinical practice. This article is prepared to accompany practice-based assessment of preoperative assessment, anesthesia, surgical treatment plan, perioperative management, and outcomes. In this format, the clinician is invited to compare his o...