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Unilateral cleft lip repair

12/3/2015

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A couple from Lucknow brought their 4-month-old baby girl born with unilateral cleft lip and palate to our hospital for cleft management. They were very anxious about their baby’s birth defect and sought expert surgical care for her.

Maxillofacial surgeon Dr. S.M. Balaji successfully performed the primary cleft lip repair using modified Millard’s technique. Following suture removal seven days post-surgery, the baby’s appearance was greatly improved. The baby’s parents were very happy that their baby’s cleft lip deformity was corrected successfully. Cleft palate surgery will be done subsequently.

Unilateral cleft lip and palate defect in 4 months old baby girl
Immediately after surgical repair of the cleft lip defect
Immediate postoperative view after suture removal following seven days of surgery
Improved appearance after successful cleft lip repair
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Successful repair of incomplete cleft lip

20/1/2015

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The parents of a 5-month-old baby girl brought their child to our hospital for surgical correction of her incomplete cleft lip birth defect. Maxillofacial surgeon Dr. S.M. Balaji successfully performed the primary cleft lip repair using modified Millard’s technique. After suture removal 7 days post-operative, the baby’s appearance was greatly enhanced. The baby’s parents were very happy with the surgery outcome and that their baby’s lip defect was expertly treated. 
Preoperative view showing incomplete cleft lip defect in a 5 months old baby girl
Immediately after suturing the cleft lip defect
Immediate postoperative view after suture removal following seven days of surgery
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Surgical correction of incomplete cleft lip

18/10/2014

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Cleft lip occurs when parts of the face forming the lip fail to fuse normally before birth. Incomplete cleft lip is when the gap in the lip does not extend up to the nose. Cleft lip correction is done usually when the baby is about 3 months old using modified Millard’s surgical technique. Maxillofacial Surgeon Dr. S.M. Balaji has successfully treated innumerable patients from all over the world born with cleft lip and cleft palate.  
Baby girl with incomplete cleft lip
Several weeks after primary cleft lip repair
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Specialized corrective surgery for nose, lip and jaw defect in cleft patients

3/10/2014

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In cleft patients, over time the scar of the upper lip thickens & the upper lip becomes very thin. This lip incompetence can be treated with specialized Abbe-Flap technique. A tissue from the lower lip is sutured together with the upper lip making both the lips proportionately similar. In males, the flap is taken with the hair follicles to ensure mustache growth. Once blood supply is established, the flap is divided improving the form & function of the lips.

In some instances, along with the lip defect, there is also a disparity in the size of the jaws. If the upper jaw is retruded and lower jaw is protruding, then Abbe-flap is combined with upper jaw advancement to restore form & balance of the face. Defective nose shapes also require surgical correction to enhance the appearance & make the face more attractive. 
Thin upper lip and nose defect in cleft lip palate patient affecting appearance
Profile view showing retruded upper jaw and lip & nose defect affecting the profile
Enhanced appearance following abbe flap surgery for lip correction & corrective jaw and nose surgery
Improved profile view after upper jaw advancement, nose correction and abbe-flap surgery
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Abbe flap technique to correct thin upper lip of a cleft patient

1/8/2014

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Primary cleft lip repair surgery is done in infancy. As the child grows, the scar thickens and results in a very thin upper lip. This can be successfully corrected with abbe flap technique. A flap of tissue is taken from the lower lip, rotated across the mouth and sutured to the upper lip with the base of the flap still attached to the lower lip to maintain the blood supply. In males, the flap is taken along with hair follicles to ensure growth of the moustache. After blood supply is established, the flap is divided and normal form and function of upper lip is restored.
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    Categories

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    Abbe Flap
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    Orthognathic Surgery
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    Scar Revision
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    Unilateral Cleft Lip

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