Abstract
BackgroundRehabilitation of normal function and form is essential in cleft lip repair. In 2005, Dr. David M. Fisher introduced an innovative method, named “an anatomical subunit approximation technique” in unilateral cleft lip repair. According to this method, circumferential incision along the columella on cleft side of the medial flap is continued to the planned top of the Cupid’s bow in straight manner, which runs parallel to the unaffected philtral ridge. Usually, small inlet incision is needed to lengthen the medial flap. On lateral flap, small triangle just above the cutaneous roll is used to prevent unesthetic shortening of upper lip. This allows better continuity of the Cupid’s bow and ideal distribution of tension.Case presentationAs a modification to original method, orbicularis oris muscle overlapping suture is applied to make the elevated philtral ridge. Concomitant primary rhinoplasty also results in good esthetic outcome with symmetric nostrils and correction of alar web. As satisfactory results were obtained in three incomplete and one complete unilateral cleft lip patients, indicating Fisher’s method can be useful in cleft lip surgery with functional and esthetic outcome.ConclusionsClinically applied Fisher’s method in unilateral cleft lip patients proved the effectiveness in improving the esthetic results with good symmetry. This method also applied with primary rhinoplasty.
Highlights
Clinically applied Fisher’s method in unilateral cleft lip patients proved the effectiveness in improving the esthetic results with good symmetry. This method applied with primary rhinoplasty
Rehabilitation of normal function and form is essential in cleft lip repair
* Correspondence: seobm@snu.ac.kr 1Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University, 101 Daehakro, Jongro-Gu, Seoul 03080, Korea Full list of author information is available at the end of the article the columella on cleft side of the medial flap is continued to the planned top of the Cupid’s bow in straight manner, which runs parallel to the unaffected philtral ridge
Summary
Rehabilitation of normal function and form is essential in cleft lip repair. In 2005, Dr David M. Fisher introduced an innovative method, named “an anatomical subunit approximation technique” in unilateral cleft lip repair. According to this method, circumferential incision along the columella on cleft side of the medial flap is continued to the planned top of the Cupid’s bow in straight manner, which runs parallel to the unaffected philtral ridge. Fisher [2] introduced an innovative method, named “an anatomical subunit approximation technique” in unilateral cleft lip repair (Fig. 1 a–c). According to this method, circumferential incision along
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