J Korean Assoc Maxillofac Plast Reconstr Surg.
2013 May;35(3):178-183.
Repair of Unilateral Incomplete Lesser Form Cleft Lip
- Affiliations
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- 1Department of Oral and Maxillofacial Surgery, Oral Science Center, College of Dentistry, Yonsei University, Korea. ysjoms@yuhs.ac
- 2Department of Plastic and Oral Surgery, Children's Hospital Boston, USA.
Abstract
- Cleft lip arises from congenital underdevelopment with various degrees and patterns. Mulliken named a unilateral incomplete cleft lip with no severe cleft as a lesser-form cleft lip and categorized it into three subgroups. Anatomically categorized subgroups are minor-form, microform, and mini-microform cleft by the extent of vermilion-cutaneous dysjuntion. The vermillion cutaneous notch is more than 3 mm from the regular Cupid's bow peak for minor-form, less than 3 mm for microform, and almost no gap with discontinuity on the vermillion cutaneous border for mini-microform. The treatments are rotational advancement flap for minor-form, double unillimb Z-plasty for microform, and vertical lenticular excision for mini-microform, respectively. This article aims to present the literature review about the incomplete lesser form cleft lip classified by Mulliken and to report our experiences.