Pandey Rajeev, Gupta Rajat, Bhagat Nitin, Verma Aviral
Senior Lecturer, Department of Oral and Maxillofacial Surgery, School of Dental Sciences, Sharda University, Greater Noida, UP, India.
Postgraduate Student, Department of Oral and Maxillofacial Surgery School of Dental Sciences, Sharda University, Greater Noida, UP, India.
J Dent (Tehran). 2016 Mar;13(2):139-142.
Median cleft is the midline cleft of the lip. It develops due to incomplete or failed fusion of the median nasal prominence. It can present with minimal deformities such as involvement of the vermilion border, or complex clefting of the midline structures and brain. Median clefts are broadly classified as true and false clefts. This case report describes a rare case of median cleft of the upper lip involving the white roll, which was not associated with any other deformities. Treatment included reconstruction of the philtrum and the cupid's bow while maintaining vermilion fullness and continuity, and minimizing scar formation. Various techniques have been advocated for treatment of this type of median upper lip cleft. Here we describe a technique using Pfeifer incision to correct our patient's defect. Pfeifer incision consists of wavy lines and its use has been advocated for correction of various craniofacial abnormalities.
正中裂是唇部的中线裂。它是由于正中鼻突不完全融合或融合失败而形成的。它可能表现为轻微畸形，如唇红缘受累，或中线结构和脑部的复杂裂缺。正中裂大致分为真性和假性裂。本病例报告描述了一例罕见的上唇正中裂累及白唇卷，且未伴有任何其他畸形的病例。治疗包括重建人中及唇弓，同时保持唇红丰满和连续，并尽量减少瘢痕形成。对于这种类型的上唇正中裂，已经提出了各种治疗技术。在此我们描述一种使用 Pfeifer 切口来矫正我们患者缺损的技术。Pfeifer 切口由波浪线组成，其应用已被提倡用于矫正各种颅面畸形。
