Long-term comparison study of philtral ridge morphology with two different techniques of philtral reconstruction

F. C.S. Chang; C. G. Wallace; Y. C. Hsiao; J. J. Huang; C. S.W. Liu; Z. C. Chen; P. K.T. Chen; J. P. Chen; Y. R. Chen

doi:10.1016/j.ijom.2020.01.015

Long-term comparison study of philtral ridge morphology with two different techniques of philtral reconstruction

F. C.S. Chang, C. G. Wallace, Y. C. Hsiao, J. J. Huang, C. S.W. Liu, Z. C. Chen, P. K.T. Chen^*, J. P. Chen, Y. R. Chen

^*Corresponding author for this work

Department of Chemical and Materials Engineering

Research output: Contribution to journal › Journal Article › peer-review

7 Scopus citations

Abstract

Cleft lip and/or cleft palate are the most common congenital craniofacial anomalies. Philtral ridge morphology is an important aesthetic component of unilateral cleft lip (UCL) repair. To this end, we have developed two techniques of philtral ridge reconstruction: (1) asymmetric mattress muscle sutures, and (2) overlapping mattress muscle sutures. The objective of this retrospective cohort study was to compare their outcomes in UCL repairs. Group I patients (n = 30) underwent UCL repair before August 2003, including philtral ridge reconstruction by asymmetric mattress muscle sutures. Group II patients (n = 30) underwent UCL repair after August 2003, including philtral ridge reconstruction by overlapping mattress muscle sutures. Philtral morphology was evaluated by ultrasonographic and three-dimensional photographic measurements, examining cleft side philtral projection and philtral ridge symmetry. These demonstrated that group II patients had better philtral column symmetry and projection on the cleft side when compared to group I. Overlapping mattress muscle sutures produced better philtral morphology in UCL repairs than asymmetric mattress muscle sutures.

Original language	English
Pages (from-to)	1254-1259
Number of pages	6
Journal	International Journal of Oral and Maxillofacial Surgery
Volume	49
Issue number	10
DOIs	https://doi.org/10.1016/j.ijom.2020.01.015
State	Published - 10 2020

Bibliographical note

Publisher Copyright:
© 2020 International Association of Oral and Maxillofacial Surgeons

Keywords

cheiloplasty
cleft lip and palate
lip reconstruction
orbicularis oris muscle
philtral ridge

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10.1016/j.ijom.2020.01.015

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Chang, F. C. S., Wallace, C. G., Hsiao, Y. C., Huang, J. J., Liu, C. S. W., Chen, Z. C., Chen, P. K. T., Chen, J. P., & Chen, Y. R. (2020). Long-term comparison study of philtral ridge morphology with two different techniques of philtral reconstruction. International Journal of Oral and Maxillofacial Surgery, 49(10), 1254-1259. https://doi.org/10.1016/j.ijom.2020.01.015

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title = "Long-term comparison study of philtral ridge morphology with two different techniques of philtral reconstruction",

abstract = "Cleft lip and/or cleft palate are the most common congenital craniofacial anomalies. Philtral ridge morphology is an important aesthetic component of unilateral cleft lip (UCL) repair. To this end, we have developed two techniques of philtral ridge reconstruction: (1) asymmetric mattress muscle sutures, and (2) overlapping mattress muscle sutures. The objective of this retrospective cohort study was to compare their outcomes in UCL repairs. Group I patients (n = 30) underwent UCL repair before August 2003, including philtral ridge reconstruction by asymmetric mattress muscle sutures. Group II patients (n = 30) underwent UCL repair after August 2003, including philtral ridge reconstruction by overlapping mattress muscle sutures. Philtral morphology was evaluated by ultrasonographic and three-dimensional photographic measurements, examining cleft side philtral projection and philtral ridge symmetry. These demonstrated that group II patients had better philtral column symmetry and projection on the cleft side when compared to group I. Overlapping mattress muscle sutures produced better philtral morphology in UCL repairs than asymmetric mattress muscle sutures.",

keywords = "cheiloplasty, cleft lip and palate, lip reconstruction, orbicularis oris muscle, philtral ridge",

author = "Chang, {F. C.S.} and Wallace, {C. G.} and Hsiao, {Y. C.} and Huang, {J. J.} and Liu, {C. S.W.} and Chen, {Z. C.} and Chen, {P. K.T.} and Chen, {J. P.} and Chen, {Y. R.}",

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doi = "10.1016/j.ijom.2020.01.015",

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volume = "49",

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AU - Wallace, C. G.

AU - Hsiao, Y. C.

AU - Huang, J. J.

AU - Liu, C. S.W.

AU - Chen, Z. C.

AU - Chen, P. K.T.

AU - Chen, J. P.

AU - Chen, Y. R.

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N2 - Cleft lip and/or cleft palate are the most common congenital craniofacial anomalies. Philtral ridge morphology is an important aesthetic component of unilateral cleft lip (UCL) repair. To this end, we have developed two techniques of philtral ridge reconstruction: (1) asymmetric mattress muscle sutures, and (2) overlapping mattress muscle sutures. The objective of this retrospective cohort study was to compare their outcomes in UCL repairs. Group I patients (n = 30) underwent UCL repair before August 2003, including philtral ridge reconstruction by asymmetric mattress muscle sutures. Group II patients (n = 30) underwent UCL repair after August 2003, including philtral ridge reconstruction by overlapping mattress muscle sutures. Philtral morphology was evaluated by ultrasonographic and three-dimensional photographic measurements, examining cleft side philtral projection and philtral ridge symmetry. These demonstrated that group II patients had better philtral column symmetry and projection on the cleft side when compared to group I. Overlapping mattress muscle sutures produced better philtral morphology in UCL repairs than asymmetric mattress muscle sutures.

AB - Cleft lip and/or cleft palate are the most common congenital craniofacial anomalies. Philtral ridge morphology is an important aesthetic component of unilateral cleft lip (UCL) repair. To this end, we have developed two techniques of philtral ridge reconstruction: (1) asymmetric mattress muscle sutures, and (2) overlapping mattress muscle sutures. The objective of this retrospective cohort study was to compare their outcomes in UCL repairs. Group I patients (n = 30) underwent UCL repair before August 2003, including philtral ridge reconstruction by asymmetric mattress muscle sutures. Group II patients (n = 30) underwent UCL repair after August 2003, including philtral ridge reconstruction by overlapping mattress muscle sutures. Philtral morphology was evaluated by ultrasonographic and three-dimensional photographic measurements, examining cleft side philtral projection and philtral ridge symmetry. These demonstrated that group II patients had better philtral column symmetry and projection on the cleft side when compared to group I. Overlapping mattress muscle sutures produced better philtral morphology in UCL repairs than asymmetric mattress muscle sutures.

KW - cheiloplasty

KW - cleft lip and palate

KW - lip reconstruction

KW - orbicularis oris muscle

KW - philtral ridge

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JO - International Journal of Oral and Maxillofacial Surgery

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IS - 10

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Long-term comparison study of philtral ridge morphology with two different techniques of philtral reconstruction

Abstract

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Keywords

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