Surgical correction of cleft lip lower-lip deformity: a report of three cases
김시영, 최진영, 하성호,
소속 상세정보
김시영 ( Kim Ci-Young ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Surgery
최진영 ( Choi Jin-Young ) - Seoul National University Department of Dental Regenerative Biotechnology
하성호 ( Ha Sung-Ho ) - Chung-Ang University Hospital Department of Oral and Maxillofacial Surgery
Abstract
Cleft lip lower-lip deformity is a secondary deformity in patients who underwent primary cheiloplasty of the upper lip, characterized by an enlarged and anteriorly rotated lower lip. In these cases, soft-tissue imbalances remain even after skeletal correction with orthognathic surgery, and additional soft tissue treatment is required for lip harmony and esthetic facial balance in CLP (cleft lip palate) patients. This study describes three cases of transverse myomucosal excision of the lower lip for correction of cleft lip lower-lip deformity to restore facial esthetic balance. Each patient underwent orthognathic surgery, rhinoplasty, or upper lip revision cheiloplasty according to condition. Postoperatively, volume of the lower lip decreased and lip harmony was improved in all three patients. The surgeon should fully understand the anatomical structure around the lips and be able to evaluate overall harmony of the soft tissue. When a lower lip deformity is present, careful surgical planning and execution are important for each patient.
키워드
Cleft lip lower-lip deformity; Secondary lip deformity; Lip reduction cheiloplasty; Lip harmony; Cleft lip and palate
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