TY - JOUR AU - Ajmal, Sumaira AU - Khan, Muhammad Ayub AU - Khan, Amir Taimur AU - Yousaf, Kanwal AU - Shadman, Muhammad AU - Iqbal, Tariq PY - 2011/10/08 Y2 - 2024/03/29 TI - EVALUATING ANATOMICAL SUBUNIT APPROXIMATION TECHNIQUE FOR UNILATERAL CLEFT LIP REPAIR JF - Journal of Postgraduate Medical Institute JA - J Postgrad Med Inst VL - 24 IS - 1 SE - Original Article DO - UR - https://jpmi.org.pk/index.php/jpmi/article/view/1009 SP - AB - <strong><em><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><strong><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><strong><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><p>Objective:</p></span></strong></span></strong></span><p> </p></em></strong><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;"><em><p><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;">To evaluate the outcome of anatomical subunit approximation in unilateral cleft lip of different</span><em><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><p><strong>Material and Methods:</strong></p></span></span></span><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;"><strong>  </strong><p><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;"><strong>Seventy four consecutive patients with cleft lip were seen in the outpatient</strong></span></p><p><strong>department of Plastic and Reconstructive Surgery at Hayatabad Medical Complex, Peshawar and Plastic Surgery unit at Said Anwar Medical Centre, Peshawar, from 1</strong></p><p><p><strong>severity was assessed and all of them were operated using David Fisher's anatomical subunit</strong></p><p><strong>approximation technique. Postoperatively the vertical height of the lip was compared on the cleft and non</strong></p><p><strong>cleft side along with symmetry of Cupid's bow and philtral column, the alignment of white roll, quality of</strong></p><p><strong>the cutaneous lip scar, vermilion fullness and vermilion notching. The nose was evaluated by noting the</strong></p><p><strong>nasal tip symmetry; alar rim level; alar base height and width; and nostril sill size, both pre and post</strong></p><p><strong>operatively.</strong></p></p><em><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><p><strong>Conclusion: </strong></p></span></span></span><p><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;"><em><p><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;">This technique has shown good results in achieving vertical height and nostril size symmetry<p><strong>especially in incomplete and mild to moderate severity of complete cleft lip.</strong></p></span></p></em></span></p></em></span><strong><span style="font-family: TimesNewRomanPSMT,Italic; font-size: xx-small;"><span style="font-family: TimesNewRomanPSMT,Italic; font-size: xx-small;">st </span></span><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;"><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;">June 2007 to 31</span></span><span style="font-family: TimesNewRomanPSMT,Italic; font-size: xx-small;"><span style="font-family: TimesNewRomanPSMT,Italic; font-size: xx-small;">st </span></span></strong><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;"><em><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;"><strong>December 2008. The</strong></span></em></span></em><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;"><p><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;"> </span></p><p><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;"><p> </p><strong><em><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><strong><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><strong><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><p>Results:</p></span></strong></span></strong></span><p> </p></em></strong><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;"><em></em></span></span></p><p><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;">Seventy two patients showed adequate vertical height and good nostril size, alar base height. Two</span></p><p>patients showed 1.0 mm discrepancy of the vertical height as compared to the non cleft side. These</p><p>belonged to the severe complete cleft lip category.</p></span></p><p>severity.</p></em></span> ER -