בשל "הגנת זכויות יוצרים", מובא להלן קישור למאמר בלבד. לקריאתו בטקסט מלא, אנא פנה/י לספרייה הרפואית הזמינה לך.

Adequate skin lengthening and symmetry may not be consistently obtained in unilateral cleft lip repair, especially in patients with complete cleft.

The purpose of this study was to present the model of muscle dissection and approximation to facilitate lip lengthening and symmetry.

The design followed the rotation-advancement (RA) method without skin measurement.

A curvilinear skin incision was made from subnasale to the Cupid's bow peak (CBP).

Muscle dissection was continued to the contralateral nostril floor beneath the columellar base to facilitate downward rotation in the medial lip.

Wide muscle dissection was performed in the lateral lip segment from the nasal mucosa passing the alar base.

The lateral lip muscle was advanced and sutured to the medial lip muscle in a Z-plasty fashion. A small skin backcut was made above the CBP.

Primary nasal correction was performed. A series of 138 patients with complete unilateral cleft lip and palate were included in this study. Standard photographs were collected for measurement in the nasolabial region.