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Unilateral complete cleft lip repair: orthotopic positioning of skin flaps
Kyung Suck Koh, Joon Pio Hong British Journal of Plastic Surgery Volume 58, Issue 2, Pages (March 2005) DOI: /j.bjps Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions
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Figure 1 An MR image of a normal philtral column (left). An MR image of a microform cleft lip (right). Note the symmetrical arrangements of the subcutaneous and muscular layer of the normal philtrum while the cleft patient's image shows a discontinuity of the subcutaneous structure on the cleft side lacking protrusion and definition of the philtral ridge. British Journal of Plastic Surgery , DOI: ( /j.bjps ) Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions
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Figure 2 A 3-month-old female baby is seen with a complete cleft lip on the left side (above, left). Designs for surgical correction is made on the anticipated philtral ridge along the margins of the cleft and C flap (above, right). Note the C flap on the orthotopic position (center, left). After correction of all three layers (center-right). The schematic drawings are seen (below, left and right): Note the C-flap positioned orthotopically and the tip not rotated to point toward the back cut. British Journal of Plastic Surgery , DOI: ( /j.bjps ) Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions
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Figure 3 A 3-month-old female baby is seen with complete unilateral cleft lip and without presurgical molding prior to surgery (above, left). The follow-up photo at 5 years shows a well-balanced upper lip with good philtral definition on the cleft side (above, right). Left oblique view (below, left) and right oblique view (below, right). British Journal of Plastic Surgery , DOI: ( /j.bjps ) Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions
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Figure 4 A complete unilateral cleft lip with presurgical molding is seen at 2 months (above, right). One week after correction with noticeable scars are seen (above, right). Six months after correction (below, left). Five years after correction with well-balanced upper lip and good philtral definition (below, right). British Journal of Plastic Surgery , DOI: ( /j.bjps ) Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions
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Figure 5 A unilateral cleft lip without presurgical molding is seen (left). Three years after correction. Note the well-balanced upper lip with good philtral definition (right). British Journal of Plastic Surgery , DOI: ( /j.bjps ) Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions
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