계명대학교 의학도서관 Repository

Curvilinear Transformation of Z-Shaped Upper Lip Scar by Diamond-Shaped Excision in Secondary Cleft Lip Deformities: A Photogrammetric Evaluation

Metadata Downloads
Author(s)
Kihwan HanHoijoon JeongTae Hyun ChoiJun Hyung KimDaegu Son
Keimyung Author(s)
Han, Ki HwanKim, Jun HyungSon, Dae GuChoi, Tae Hyun
Department
Dept. of Plastic Surgery (성형외과학)
Journal Title
Cleft Palate - Craniofacial Journal
Issued Date
2015
Volume
52
Issue
2
Keyword
diamond-shaped excisionphotogrammetrysecondary cleft lip deformityZ-shaped scar
Abstract
Purpose: The visible Z-shaped upper lip scar that occurs after the Tennison and Randall
triangular flap technique remains a cleft stigma. Herein, we present our curvilinear transformation
technique for the Z-shaped upper lip scar by diamond-shaped excision and evaluate the
results using photogrammetric analyses.
Patients and Methods: From 1997 to 2006, 23 patients with secondary cleft lip deformity with
the visible Z-shaped upper lip scar underwent correction with the technique. The scar was
excised in the diamond shape above the muscle. After curvilinear closure, the elongated length
of the upper lip was excised just below the nostril sill, as the measured Cupid’s bow height
discrepancy. The result was assessed by the authors’ standardized photogrammetry technique.
Results: There was a statistically significant decrease between the preoperative central limb
of the Z-shaped scar and the width of the postoperative curvilinear upper lip scar. The pre- and
postoperative Cupid’s bow height differences were not statistically significant.
Conclusions: The curvilinear transformation of the Z-shaped scar is an efficient procedure
that provides (1) a significant decrease in the width of an upper lip scar to make it less
conspicuous, (2) incorporation of the scar into the philtral column, (3) a biconcave natural philtral
column shape in frontal view, and (4) formation of the natural concave philtral contour in profile
view.
KEY WORDS: diamond-shaped excision, photogrammetry, secondary cleft lip deformity, Zshaped
scar
Keimyung Author(s)(Kor)
한기환
김준형
손대구
최태현
Publisher
School of Medicine
Citation
Kihwan Han et al. (2015). Curvilinear Transformation of Z-Shaped Upper Lip Scar by Diamond-Shaped Excision in Secondary Cleft Lip Deformities: A Photogrammetric Evaluation. Cleft Palate - Craniofacial Journal, 52(2), 143–151. doi: 10.1597/13-127
Type
Article
ISSN
1055-6656
Source
http://journals.sagepub.com/doi/abs/10.1597/13-127?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub%3Dpubmed&
DOI
10.1597/13-127
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34473
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
Authorize & License
  • Authorize공개
  • EmbargoForever
Files in This Item:

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.