Maxillofac Plast Reconstr Surg.  2017 May;39(5):12. 10.1186/s40902-017-0109-1.

Modified Fisher method for unilateral cleft lip-report of cases

Affiliations
  • 1Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University, 101 Daehakro, Jongro-Gu, Seoul, 03080 Korea. seobm@snu.ac.kr
  • 2Sijhih Cathay General Hospital, New Taipei City, Taiwan.
  • 3Department of Oral and Maxillofacial Surgery, Anam Hospital, Korea University, Seoul, Korea.

Abstract

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.

Keyword

Cleft lip; Fisher; Orbicularis oris muscle; Primary rhinoplasty; Alar web correction

MeSH Terms

Bays
Cleft Lip
Humans
Lip
Methods*
Rehabilitation
Rhinoplasty
Sutures
Full Text Links
  • MPRS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr