Modification of Marking Procedure in Anatomical Subunit Approximation Technique in Treatment of Unilateral Cleft Lip

Sweedan, Ahmed; Mahmoud, Ziad; Shokry, Mohamed

doi:10.21608/omx.2022.142379.1164

Modification of Marking Procedure in Anatomical Subunit Approximation Technique in Treatment of Unilateral Cleft Lip

Document Type : Original Article

Authors

¹ Lecturer of Oral and maxillofacial surgery, Department of Oral and maxillofacial surgery, Faculty of Dentistry, Alexandria University, Egypt

² Associate Professor of Oral and maxillofacial surgery, Department of Oral and maxillofacial surgery, Faculty of Dentistry, Alexandria University, Egypt

10.21608/omx.2022.142379.1164

Abstract

Background: Cleft lip repair necessitates the restoration of normal function and form. David M. Fisher presented a novel
method for unilateral cleft lip repair called "anatomical component approximation technique" in 2005. It is a "measure twice,
cut once" manner of mending as compared to other methods. The design is time-consuming because it relies on 25 landmarks.
This article aimed to develop a more clinically based method using a bendable wire rather than measuring lengths by caliper in
the original technique described by Fisher
Material and method: This study was carried out as a clinical trial conducted on 18 patients suffering from unilateral cleft lip
deformity treated with Fisher’s technique but with modified technique in marking procedure
Results: cleft side was compared to non-cleft side in philtral ridge length and nostril width in all patients and no statistical
difference was found indicating esthetically acceptable results.

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