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Primary closure of bilateral cleft lip
Published in John Dudley Langdon, Mohan Francis Patel, Robert Andrew Ord, Peter Brennan, Operative Oral and Maxillofacial Surgery, 2017
Generally, this is a severe deformity due to inadequate mobilization of nasalis and orbicularis oris muscles or dehiscence of these muscles due to closure with tension. Secondary repair is carried out in the form of a complete revision cheiloplasty.
The Governor Vessel (GV)
Published in Narda G. Robinson, Interactive Medical Acupuncture Anatomy, 2016
Cleft lip directly upsets orbicularis oris muscle anatomy.2 That is, with incomplete clefts, the intrinsic portion within the vermilion is interrupted without distortion while the extrinsic part, i.e., the portion outside of the vermilion, distorts vertically in relation to the degree of nasal deformity. Complete clefts cause the extrinsic part to deviate even more. These differences influence surgical repair of cleft lip (cheiloplasty), which requires, in part, reorienting orbicularis oris muscle fibers to allow oral closure.
The Digestive (Gastrointestinal) System and Its Disorders
Published in Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss, Understanding Medical Terms, 2020
Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss
Surgical removal of organs are denoted by the suftix -ectomy along with the combining form denoting the site. Examples are colectomy (colon), pancreatectomy (pancreas), and gastrectomy (stomach). Anastomosis involves joining areas of the gastrointestinal tract after excision or ostomy procedures, which create an artificial opening between organs or from an organ, usually to the abdominal wall. These also are described by location: sigmoidostomy, esophagojejumostoray* gastrostomy. Incision into an organ (enterotomy—intestine; duodenotomy—duodenum) may be performed for exploration, biopsy, or foreign body removal. Suture (-orrhaphy) may be done for a perforated ulcer, diverticulum, wound injury, or rupture. Repair of the pyloric canal, known as pyloroplasty, is indicated in peptic ulcer disease. Likewise, a palatoplasty would correct deformities of the palate; cheiloplasty of the lips; and pharyngoplasty of the pharynx.
Presurgical naso-alveolar molding paired with cheiloplasty to treat median cleft lip deformity in holoprosencephaly
Published in Case Reports in Plastic Surgery and Hand Surgery, 2020
Satoshi Takagi, Ayumu Tsukamoto, Yoshihisa Kawakami, Sachio Tamaoki, Hiroyuki Ohjimi
In holoprosencephaly-related median cleft lip, the premaxillary structure is completely missing or critically rudimentary. As limited skin and soft tissue volume was available for cheiloplasty, it was quite challenging to reconstruct the lip and nose into a fine structure that forms the cupid bow, philtrum ridge, philtrum dimple, or labial tubercle. The simplest cheiloplasty should involve a straight approximation of the lateral upper lip [2–4]. But if a straight scar on the upper lip center is present, the shape of the philtrum structure cannot be determined. For the philtrum reconstruction, Sadove et al. applied a free skin graft [6]. We used skin grafts in our surgical procedure for restoring the philtrum shape; however, it was limited to the region covering the cephalad area and the philtrum dimple. A small white lip approximated with a lateral upper lip segment can fill the caudal area up to the philtrum dimple and simultaneously push the red lip downward, which can mediate the formation of a proper cupid-bow shape.
Long-term outcomes in children with and without cleft palate treated with tympanostomy for otitis media with effusion before the age of 2 years
Published in Acta Oto-Laryngologica, 2020
Maki Inoue, Mariko Hirama, Shinji Kobayashi, Noboru Ogahara, Masahiro Takahashi, Nobuhiko Oridate
Details about the participants in the study group are reported in Table 1. In 77 children (33 with cleft palate only and 44 with cleft lip and cleft palate), primary palatoplasty and tympanostomy were performed simultaneously. In 11 children, tympanostomy was performed before primary palatoplasty (in 8 children, tympanostomy was performed at the same time as primary cheiloplasty; in 3 children, palatoplasty could not be scheduled due to poor weight gain at the primary tympanostomy). In 7 children, tympanostomy was performed after primary palatoplasty because of narrow ear canals at the primary palatoplasty.
A 30-year follow-up study of patients with Melkersson–Rosenthal syndrome shows an association to inflammatory bowel disease
Published in Annals of Medicine, 2019
Anu Haaramo, Kaija-Leena Kolho, Anne Pitkäranta, Mervi Kanerva
The MRS symptoms experienced by the patients are listed in Table 2. Seventeen (63.0%) patients had experienced oedema of the lips at some point during the course of the disease, five (18.5%) of which were within the last year, and one (3.7%) within the last month. Labial oedema had occurred only once in five patients (29.4% of the patients with labial oedema). It was recurrent in 10 (58.8%) patients and continuous in two (11.8%) patients. One patient with persistent and disfiguring labial oedema underwent cheiloplasty of both upper and lower lip.