Abstract
Importance
To describe a novel technique for repair of the whistle deformity in secondary cleft lip surgery.
Observations
Three patients who presented with a whistle deformity as a sequela of cleft lip surgery and underwent a novel myomucosal vertical Z-plasty tissue transposition at a tertiary academic medical center with a certified craniofacial center were retrospectively reviewed. Photodocumentation provides a measure of the aesthetic results. In the 3 patients, the technique was performed and the whistle deformity corrected such that the free margins of the lips were in full contact with the lips in a neutral resting position. No perioperative or postoperative complications were encountered.
Conclusions and Relevance
A novel myomucosal vertical Z-plasty transposition should be added to the tools available to the cleft surgeon for addressing this common defect.
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