Gadre Kiran1, Shandilya Ramanojam2, Pushkar K Gadre3, Nisha K Shetty4, Rajshekhar Halli1, Anurag Singh5. 1. Department of Oral and Maxillofacial Surgery, Bharati Vidyapeeth Deemed University Medical College, Pune, 411043 Maharashtra India. 2. Department of Oral and Maxillofacial Surgery, Bharati Vidyapeeth Deemed University Medical College, Pune, 411043 Maharashtra India ; C-2/G-1, Shalini Vishwa, Behind Bharati Vidyapeeth Campus, Katraj, Pune, 411046 Maharashtra India. 3. Sunrise, 2122, Vijaynagar Colony, Behind Kaveri Hotel, Pune, 411030 Maharashtra India. 4. Department of Oral and Maxillofacial Surgery, Career Institute of Medical Research and Hospital, Hardoi Bypass Road, Lucknow, Uttar Pradesh India. 5. Safdarjung Enclave, Delhi, 110029 India.
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.
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.