[Correction of secondary bilateral cleft lip deformity - outcome evaluation]. 2013

Tomasz Debski, and Józef Jethon, and Piotr Pietruski, and Elzbieta Radzikowska
Centrum Medycznego Ksztatcenia Podyplomowego w Warszawie, Klinika Chirurgii Plastycznej. tdebski@o2.pl

One of the methods for correction of "whistle" deformity following a primary bilateral cleft lip repair is a Skoog procedure. It consists of orbicularis oris muscle mobilization and suture following vermilion closure in a V-Y manner. The aim of the study was to evaluate late results of Skoog procedure in "whistle" deformity correction. METHODS Between 2000 and 2009 12 patients with whistle deformity underwent Skoog procedure. All of them were operated by the same surgeon. Aesthetic outcome in terms of lip fullness, symmetry and overall appearance was evaluated by patient and three independent examiners in four-point scale (1 - dissatisfied, 4 - very good). Pre- and postoperative vertical vermilion height was calculated bydigital analysis of photographs. in addition, complications and patient problems such as lip pain, microstomia, smiling or speech disturbances and scabbing of malpositioned wet vermilion were recorded. RESULTS Six patients (4 men, 2 women, aged 23-44 years, mean 29 years) were included into the study. The average follow-up was 69.5 months. Patients higher evaluated overall appearance (mean 3.83) than symmetry (mean 3.16) and lip fullness (mean 3.16). Lip symmetry evaluated by independent examiners was assessed higher (mean 3.5) than overall appearance (mean 3.33) and lip fullness (mean 3). Digital analysis of photographs shows that mean vertical vermilion height increased after Skoog procedure from 34 to 142% (mean 71.5%). Besides acceptable scabbing of malpositioned wet vermilion no complications and patient problems occurred. CONCLUSIONS Skoog procedure provided a simple and reliable option for the correction of "whistle" deformity.

UI MeSH Term Description Entries
D008297 Male Males
D002971 Cleft Lip Congenital defect in the upper lip where the maxillary prominence fails to merge with the merged medial nasal prominences. It is thought to be caused by faulty migration of the mesoderm in the head region. Harelip,Cleft Lips,Harelips,Lip, Cleft,Lips, Cleft
D005260 Female Females
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D016896 Treatment Outcome Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series. Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes
D055815 Young Adult A person between 19 and 24 years of age. Adult, Young,Adults, Young,Young Adults
D019651 Plastic Surgery Procedures Procedures used to reconstruct, restore, or improve defective, damaged, or missing structures. Cosmetic Reconstructive Surgical Procedures,Cosmetic Surgical Procedures,Esthetic Reconstructive Surgical Procedures,Esthetic Surgical Procedures,Plastic Surgical Procedures,Reconstructive Surgical Procedures,Reconstructive Surgical Procedures, Cosmetic,Cosmetic Reconstructive Surgery,Procedure, Reconstructive Surgical,Procedures, Reconstructive Surgical,Reconstructive Surgical Procedure,Reconstructive Surgical Procedures, Esthetic,Surgical Procedure, Reconstructive,Surgical Procedures, Reconstructive,Cosmetic Reconstructive Surgeries,Cosmetic Surgical Procedure,Esthetic Surgical Procedure,Plastic Surgery Procedure,Plastic Surgical Procedure,Procedure, Cosmetic Surgical,Procedure, Esthetic Surgical,Procedure, Plastic Surgery,Procedure, Plastic Surgical,Procedures, Cosmetic Surgical,Procedures, Esthetic Surgical,Procedures, Plastic Surgery,Procedures, Plastic Surgical,Reconstructive Surgeries, Cosmetic,Reconstructive Surgery, Cosmetic,Surgeries, Cosmetic Reconstructive,Surgery Procedure, Plastic,Surgery Procedures, Plastic,Surgery, Cosmetic Reconstructive,Surgical Procedure, Cosmetic,Surgical Procedure, Esthetic,Surgical Procedure, Plastic,Surgical Procedures, Cosmetic,Surgical Procedures, Esthetic,Surgical Procedures, Plastic

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