Hassanpour Seyed Esmail, Shirazi Fatemeh Hosseinizadegan, Karim Ferial
Department of Plastic Surgery, 15 Khordad Educational Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Craniofac Surg. 2018 Oct;29(7):e656-e658. doi: 10.1097/SCS.0000000000004669.
Craniofacial clefts are unusual. Perioral clefts that are discussed in the literature include cleft lip and cleft palate is more common. Midline mandibular and lower lip clefts are rare. Lateral lower lip cleft with only soft tissue involvement is so rare that it has not been reported until now.
A 44-month-old girl with a 1-cm-length cleft on the lateral side of the lower lip 8 mm medial to the commissure in lateral one-third of the lower lip referred to the authors' clinic. Repair of the lip consisted of excision of excess mucosa, muscle repair, and 2 z plasties at the level of skin and mucosal layer.
This is the first report of a new foreseen type of Tessier clefts which may be classified as one of the clefts 15 to 29. Repair of this cleft can be done by soft tissue considerations when there are no underlying hard structure defects.
颅面裂并不常见。文献中讨论的口周裂包括唇裂和腭裂,唇裂更为常见。下颌中线和下唇裂很少见。仅累及软组织的外侧下唇裂极为罕见,迄今为止尚未见报道。
一名44个月大的女孩,下唇外侧距口角内侧8毫米、下唇外侧三分之一处有一条1厘米长的裂,转诊至作者所在诊所。唇部修复包括切除多余黏膜、修复肌肉以及在皮肤和黏膜层进行两处Z成形术。
这是一种新发现的可预见类型的泰西埃裂的首次报告,该裂可能归类为15至29号裂之一。当不存在潜在硬结构缺陷时,可根据软组织情况对该裂进行修复。