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CC BY-NC-ND 4.0 · Indian J Plast Surg 2008; 41(02): 167-170
DOI: 10.1055/s-0039-1699260
Original Article
Association of Plastic Surgeons of India

Notch-free vermillion after unilateral cleft lip repair: The Charles Pinto centre protocol

V. P. Narayanan
Department of Plastic Surgery, SSG Hospital and Medical College, Baroda
,
S. H. Adenwalla
Department of Plastic Surgery, SSG Hospital and Medical College, Baroda
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Publication History

Publication Date:
15 January 2020 (online)

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ABSTRACT

A notch on the vermillion is one of the most common complications following the repair of a unilateral cleft lip. Several methods have been described for the secondary correction of a notch. However, there are only a few reports on how the notch can be prevented during primary lip repair. Causes of a vermillion notch were analysed at the Charles Pinto Centre for Cleft Lip and Palate and each possible cause addressed by an appropriate procedure. This protocol was then followed in every patient. In this manner, we have been able to avoid notches in unilateral cleft lips altogether and more significantly, junior trainees in our department have also been able to consistently avoid a notch in their repairs.

KEY WORDS

Primary cleft lip repair - Vermillion notch - Z plasty
 
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