My Strategy for the Primary Surgery of Unilateral Cleft Lip

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  • NAKAJIMA Tasuo
    Department of Plastic and Reconstructive Surgery, Keio University School of Medicine Ikebukuro Plastic Surgery Clinic

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  • 私のこだわり（片側唇裂初回手術）

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Unilateral cleft surgery should not be performed in a complex design at an early stage since reoperation at a later date will be difficult. I therefore devised a new surgical design using the triangular flap below the alar base and bow shaped incision in cleft edges. This paper explained detail surgical techniques of this surgical procedure. The postoperative suture line lose lateral scars and close to a straight line around the philtrum ridge. A long-term follow-up showed invisible operative scar. We believe that good external nasal growth is also observed.<br>The advantages of this method and supporting points to address the problems are discussed.

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