Affordable Access

Publisher Website

Lip adhesion revisited: A technical note with review of literature

Authors
Journal
Indian Journal of Plastic Surgery
0970-0358
Publisher
Medknow Publications
Publication Date
Volume
42
Issue
2
Identifiers
DOI: 10.4103/0970-0358.59283
Keywords
  • Original Article
Disciplines
  • Education
  • Medicine

Abstract

Context (Background): Lip adhesion is a direct edge approximation without changing lip landmarks or disturbing tissue required for definitive closure. This converts a complete cleft into an incomplete cleft, facilitating and enhancing subsequent definitive lip and nose repair. Aim: The study aims to describe our technique of lip adhesion and its morbidity, and discuss the rationale for its use. Settings and Design: Retrospective follow-up study of complete clefts operated upon in the Bruges Cleft and Craniofacial Centre, at the supra regional teaching hospital AZ St. Jan, Bruges, between June 1, 1991 and May 1, 2009. Methods and Material: The group comprised 33 unilateral and 24 bilateral lip adhesion procedures. The medical files were reviewed for changes in surgical technique, morbidity, and complications and their treatment. Results: The lip adhesion procedure was performed at the age of two to eight weeks postnatal, and definitive lip closure, at the age of four to six months. In all cases, segment repositioning was further controlled by a palatal guidance plate. Wound dehiscence occurred in eight patients (14.0%), and three patients (5.3%) required reoperation. Conclusions: Although complications occurred, the beneficial effects of lip adhesion in combination with a guidance plate outweighed the risks for anatomical reconstruction of a platform for definitive lip and nose repair. Modifications are suggested to reduce these complications.

There are no comments yet on this publication. Be the first to share your thoughts.

Statistics

Seen <100 times
0 Comments

More articles like this

Giant hand lipoma revisited: report of a thenar li...

on Journal of Hand and Microsurge... December 2013

Re: giant hand lipoma revisited: report of a thena...

on Journal of Hand and Microsurge... December 2014

Endoscopic treatment of colloid cysts of the third...

on Journal of Neurosurgery December 1998

Technical literature review.

on Studies in health technology a... 2013
More articles like this..