Modified Fisher method for unilateral cleft lip-report of cases

被引：6
作者：
Kim H.Y. [1 ]
Park J. [1 ]
Chang M.-C. [2 ]
Song I.S. [3 ]
Seo B.M. [1 ]
机构：
[1] Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University, 101 Daehakro, Jongro-Gu, Seoul
[2] Sijhih Cathay General Hospital, New Taipei City
[3] Department of Oral and Maxillofacial Surgery, Anam Hospital, Korea University, Seoul
来源：
Maxillofacial Plastic and Reconstructive Surgery | / 39卷 / 1期
关键词：
Alar web correction; Cleft lip; Fisher; Orbicularis oris muscle; Primary rhinoplasty;
D O I：
10.1186/s40902-017-0109-1
中图分类号：
学科分类号：
摘要：
Background: 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. 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 presentation: As 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. Conclusions: Clinically 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. © 2017, The Author(s).
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