Our Summary

The research paper discusses a technique used for treating patients with a unilateral cleft lip (a split or opening in the lip on one side only). The aim of this treatment is to make the lip look as natural as possible, with minimal noticeable scarring. The paper focuses on a method called ‘symmetric philtral column repair,’ which aims to create a balance in the lip by making one side mirror the other. This technique has been used by the author for 14 years on over 500 patients, and the results have been satisfactory, with only 6 percent of patients requiring a follow-up correction procedure. The author concludes that this method is effective, safe, easy to understand, and successful in reducing the visible signs of a cleft lip.

FAQs

  1. What is the purpose of the ‘symmetric philtral column repair’ technique discussed in the research paper?
  2. How many patients have been treated using the ‘symmetric philtral column repair’ technique and what were the results?
  3. What are the benefits of the ‘symmetric philtral column repair’ method according to the author of the research paper?

Doctor’s Tip

A helpful tip a doctor might tell a patient about cleft lip repair is to follow all post-operative care instructions carefully to ensure proper healing and minimize scarring. This may include keeping the surgical site clean, avoiding activities that could put strain on the lip, and attending follow-up appointments as scheduled. It is also important to communicate any concerns or changes in the healing process to your healthcare provider promptly.

Suitable For

Patients who are typically recommended for cleft lip repair include those with a unilateral cleft lip, meaning the split or opening in the lip is on one side only. These patients may include infants, children, or adults who have not previously undergone cleft lip repair. The goal of the surgery is to improve the appearance of the lip and reduce the visible signs of the cleft, ultimately improving the patient’s quality of life and self-esteem.

Timeline

Before cleft lip repair:

  • Patient is diagnosed with a unilateral cleft lip
  • Patient and family receive counseling and education about the condition and treatment options
  • Patient undergoes pre-operative assessments and preparations
  • Surgery is scheduled and patient and family are informed about what to expect during and after the procedure

After cleft lip repair:

  • Patient undergoes surgery to repair the cleft lip
  • Patient is closely monitored in the recovery room for any complications
  • Patient may experience swelling, bruising, and discomfort in the days following surgery
  • Patient and family receive instructions for post-operative care and follow-up appointments
  • Over time, the swelling and bruising will decrease, and the lip will begin to heal
  • Patient may require additional follow-up appointments for adjustments or corrections, if needed
  • Ultimately, the goal is for the patient to have a natural-looking lip with minimal scarring and improved function

What to Ask Your Doctor

  1. What is the success rate of the symmetric philtral column repair technique in achieving a natural-looking lip with minimal scarring?
  2. How long is the recovery time after undergoing cleft lip repair surgery?
  3. Are there any potential risks or complications associated with the surgery?
  4. What kind of follow-up care and monitoring will be required after the procedure?
  5. How soon after birth can cleft lip repair surgery be performed?
  6. Are there any lifestyle changes or dietary restrictions that should be followed before or after the surgery?
  7. Will additional surgeries or procedures be necessary in the future to maintain the results of the cleft lip repair?
  8. How experienced is the medical team in performing cleft lip repair surgeries, and what is their success rate?
  9. Are there any alternative treatment options available for cleft lip repair?
  10. Can the doctor provide before and after photos of previous patients who have undergone cleft lip repair using the symmetric philtral column repair technique?

Reference

Authors: Madaree A. Journal: Plast Reconstr Surg. 2019 Apr;143(4):1147-1153. doi: 10.1097/PRS.0000000000005475. PMID: 30921134