Abstract
Purpose
One of the common sequels of a cleft lip repair may be “whistling lip deformity” but other deformities are also seen particularly in failed or multiple resurgery cases. This retrospective study was carried out to evaluate the usefulness of “Kapetansky-Juri” advancement flap technique to correct such deformities.
Methods
Ten patients of bilateral cleft lip with history of minimum five failed cleft lip surgeries and having residual lip deformity were operated using “Kapetansky-Juri” advancement flap technique and were followed up to minimum 36 months.
Results
All patients showed good tissue fullness and complete correction of the deformity. There was no contracture of surrounding skin or vermilion during follow-up period. In eight patients minimal scar formation was seen while two showed midline scar formation.
Conclusion
No tissue loss due to vascular insufficiency was observed. The technique gives good tissue distribution and minimal surface scar formation.
Similar content being viewed by others
References
Millard DR (1977a) Cleft craft: the evolution of its surgery. I. The unilateral deformity. Boston: Little, Brown & Co
Mulliken JB (1985) Principles and techniques of bilateral complete cleft lip repair. Plast Reconstr Surg 75:477–486
Millard DR (1977b) Cleft craft: the evolution of its surgery. II. Bilateral and rare deformities. Boston: Little, Brown & Co
Puckett CL, Reinisch JF, Weiner RS (1980) Late correction of orbicularis discontinuity in bilateral cleft lip deformity. Cleft Palate J 17:34–39
Kai S, Ohishi M (1985) Secondary correction of the cleft lip and nose deformity: a new technique for revision of whistling deformity. Cleft Palate J 22:290–295
Abbe´ R (1968) A new plastic operation for the relief of the deformity due to double harelip. Med Rec 1898; 53:477 [Reprinted in Plast Reconstr Surg 42:481–483]
Cannon B (1941) The split vermilion bordered lip flap. Surg Gynecol Obstet 73:95–97
Gillies HD, Millard DR (1957) Principles and art of plastic surgery. Little, Brown & Co, Boston
Kawamoto HK (1979) Correction of major defects of the vermilion with a cross-lip vermilion flap. Plast Reconstr Surg 64:315–318
Holmstrom H (1987) The Abbe island flap for the correction of whistle deformity. Br J Plast Surg 40:176–180
Vaughn HS (1946) The importance of the premaxilla and the philtrum in bilateral cleft lip. Plast Reconstr Surg 1:240–248
Cronin TD (1957) Surgery of the double cleft lip and protruding premaxilla. Plast Reconstr Surg 19:389–400
Crickelair GF, Hickey M (1957) Correction of “whistling deformity”. Surg Gynecol Obstet 104:759–761
Arons MS (1971) Another method for secondary correction of whistle deformity. Plast Reconstr Surg 47:389
Guerrero-santos J (1969) Use of a tongue flap in secondary correction of cleft lips. Plast Reconstr Surg 44:368–371
Chong KJ, Winslow RB (1971) Simple technique for correction of “whistling” deformity in repaired cleft lips. Plast Reconstr Surg 48:84–85
Kapetansky DI (1971) Double pendulum flaps for whistling deformities in bilateral cleft lips. Plast Reconstr Surg 47:321–323
Juri J, Juri C, de Antueno J (1976) A modification of the Kapetansky technique for repair of whistling deformities of the upper lip. Plast Reconstr Surg 57:70–73
Robinson DW, Ketchum L, Masters FW (1970) Double V-Y procedure for whistling deformity in repaired cleft lips. Plast Reconstr Surg 46:241–244
Hogan VM, Converse JM (1971) Secondary deformities of unilateral cleft and nose. In: Grab WC, Rosenstien SC, Bzoch KR (eds) Cleft lip and Palate. Boston, Little Brown & Co., pp 245–261
O’ Connor GB, Mc Gregor MW, Murphy S, Tolleth H (1973) Advancement of soft tissues to correct mild midfacial retrusions. Plast Reconstr Surg 52:42–46
Christine MR, Mulliken JB (1989) Deepithelialized mucosal- submucosal flap to correct the whistling lip deformity. Cleft Palate J 26:136–140
Slaughter WB, Henry JW, Berger JC (1960) Changes in blood vessel patterns in bilateral cleft lip. Plast Reconstr Surg 26:160–179
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kiran, G., Ramanojam, S., Gadre, P.K. et al. Kapetansky-Juri Technique to Correct the Whistlers Lip in the Multiple Operated Cleft Patient. J. Maxillofac. Oral Surg. 14, 693–698 (2015). https://doi.org/10.1007/s12663-014-0701-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12663-014-0701-1