Abstract
Repair of a bilateral cleft lip remains a big challenge. We describe our approach based on the bilateral cleft lip repair by Fisher. In this repair, the red lip is made from the lateral lip elements only, and continuity of the orbicularis oris muscle is achieved. Tips are given to avoid a whistle notch deformity or too much fullness of the median tubercle. The nose remains the main stigma for patients with complete bilateral lips, deserving an equal amount of attention as the lip during the repair. A method for optimal primary correction is presented, while avoiding additional scars and damage that will complicate later surgery. The rotation of C-flaps from the prolabium into the nostril sill can also help define the angle between columella and lip. Proper muscle release, repositioning, and approximation are the foundation of the lip repair.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Zhang JX, Arneja JS. Evidence-based medicine: the bilateral cleft lip repair. Plast Reconstr Surg. 2017;140(1):152e–65e.
Henry C, Samson T, Mackay D. Evidence-based medicine: the cleft lip nasal deformity. Plast Reconstr Surg. 2014;133(5):1276–88.
Mulliken JB. Repair of bilateral cleft lip and its variants. Indian J Plast Surg. 2009;42 Suppl:S79–90.
Bentz ML, Bauer BS, Zuker RM. Principle and practice of pediatric plastic surgery. 2nd ed. Boca Raton: CRC Press, Taylor & Francis Group. 2016
Fisher DM, Sommerlad BC. Cleft lip, cleft palate, and velopharyngeal insufficiency. Plast Reconstr Surg. 2011;128(4):342–60.
Zide BM, Swift R. How to block and tackle the face. Plast Reconstr Surg. 1998;101(3):840–51.
Salyer KE. Primary correction of the unilateral cleft lip nose: a 15-year experience. Plast Reconstr Surg. 1986;77(4):558–68.
McComb H. Primary repair of the bilateral cleft lip nose: a 15-year review and a new treatment plan. Plast Reconstr Surg. 1990;86:882–9.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Chong, D.K., Dhooghe, N.S. (2021). Bilateral Cleft Lip Repair. In: Swanson, J.W. (eds) Global Cleft Care in Low-Resource Settings. Springer, Cham. https://doi.org/10.1007/978-3-030-59105-2_14
Download citation
DOI: https://doi.org/10.1007/978-3-030-59105-2_14
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-59104-5
Online ISBN: 978-3-030-59105-2
eBook Packages: MedicineMedicine (R0)