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Case Study – Primary Unilateral Cleft Lip Repair

  Background: Cleft lip and palate is one of the most common facial birth defects. On average and as a simplistic statement, it presents amongst all races and sexes combined at 1:1000 birth occurrence rate. It has a wide variability in the degree of involvement of the lip and palate. But the unilateral cleft lip Read More…

The Tongue Flap in Cleft Palate Fistula Closure

  The tongue evokes a lot of different reactions from people because of its appearance, location and use in various gestures. While unusual in appearance and movements, its importance in oral function can not be underestimated. It has numerous roles in eating, speech and oral hygiene. It is truly a multifunctional body organ. The tongue Read More…

Case Study – Teenage Male Cleft Rhinoplasty

  Background: Of all the difficult cases in rhinoplasty surgery, the cleft  nose remains one of the most challenging. While this challenge is magnified in the bilateral cleft nose, it is only slightly less in the unilateral cleft lip and palate patient. The challenge its not in understanding the deformity but working with nasal tissues Read More…

Case Study – Cleft Lip Revision with Buccal Fat Graft

  Background: Repair of a primary cleft lip deformity is one of the common pediatric plastic surgery procedures performed in infants. Usually done around three to four months of age, its repair is usually done by the rotation-advancement technique. This well established cleft lip repair procedure works by derotating the shortened medial lip element and Read More…

Case Study – Incomplete Cleft Lip Repair

Background: While cleft lip and palate is a widely recognized orofacial deformity, it is less commonly appreciated that it has a wide spectrum of presentations. It occurs in basic categories of combined cleft lip and palate and isolated cleft lip and isolated cleft palate, but every  possible variation in between these basic categories occurs. Its Read More…

Case Study – Unilateral Cleft Lip Repair

  Background: The term, cleft lip and palate, refers to a spectrum of congenital clefting conditions that emanate out from the mouth area. In its most common presentation, it  involves both the cleft lip and palate (technically cleft lip-alveolus-nose-palate) but it can also occur as an isolated cleft lip or an isolated cleft palate. These Read More…

Case Study – Bilateral Cleft Rhinoplasty

  Background: The bilateral cleft lip and palate deformity poses major reconstructive challenges. At its root cause is the shortage of tissue that has resulted from the cleft as well as scar tissue that has occurred from prior surgeries. The bilateral cleft nose has many typical features from a wide and blunt nasal tip, an Read More…

Case Study: Bilateral Cleft Lip Repair

  Background: Cleft lip and palate is one of the most common facial birth defects often cited as occurring in about 1 in every 1,000 births. While there are race, gender and world wide differences in this occurrence rate, it is a condition that is well recognized around the world for its prevalance. Almost everyone Read More…

Technical Strategies – Cleft Lip Scar Hair Transplants

  Despite the best efforts at cleft lip repair, whether done as an infant, teenager or as an adult cleft lip revision, the ability to detect the cleft lip scar usually persists. This is most manifest in men because the thickness of the upper lip beard skin on both sides of the cleft lip scar Read More…

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