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CC BY-NC-ND 4.0 · Indian J Plast Surg 2018; 51(02): 131-136
DOI: 10.4103/ijps.IJPS_214_17
Original Article
Association of Plastic Surgeons of India

The refinement of the median tubercle of cleft lip

Jyotsna Murthy
Department of Plastic Surgery, Sri Ramachandra Medical College and Research Institute, Chennai, Tamil Nadu, India
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Publication History

Publication Date:
26 July 2019 (online)

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ABSTRACT

Aim: Repair of cleft lip aims to bring symmetry and provide normal aesthetics for the lip. Several techniques have been employed; however, the finer aspect of median lip tubercle has not been emphasised in cleft lip repair. Materials and Methods: We have modified cleft lip repair, both unilateral and bilateral, preserving all the tissues of the median tubercle to provide normal-looking median tubercle of the lip. The modified technique was carried out by a single surgeon on 322 cases of unilateral cleft lip and 68 cases of bilateral cleft lip. Follow-up was done for 1–3 years on these children to evaluate the outcome. Results: The evaluation showed excellent results in more than 80% of patients in unilateral cleft lip repair, on 1–3 years of follow-up; 20% had acceptable results. Of 68 patients with bilateral cleft lip, none had any complication, and excellent results were obtained in 70%. Result was rated acceptable in 30%; 15% may need revision surgery for white roll and vermilion adjustment. Conclusion: We present the technique of reconstructing a normal-looking median tubercle in cleft lip repair. The technique was modified based on the study of normal upper lip and embryology of cleft lip, with emphasis on creating better median tubercle of the lip.

KEY WORDS

Bilateral cleft lip - cleft lip - cleft lip repair - median tubercle - vermilion
 

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