Flashcards on Unilateral Cleft Lip Repair
Unilateral Cleft Lip Repair: Guide for Students
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Cleft lip surgical techniques
173 cards
Card 1
Question: What is the initial incision for elevation and insertion of the C flap mucosa on the noncleft side lip?
Answer: An incision is made on the free edge of skin and mucosa on the noncleft side lip and extended posteriorly to the junction of columella skin and septal
Card 2
Question: When elevating the mucosal C flap, which skin overlying structure is preserved?
Answer: All skin overlying the premaxilla is preserved.
Card 3
Question: How is the mucosal C flap based and where is it inserted?
Answer: The mucosal C flap is based on the premaxilla, incised and elevated, then rotated and inserted behind the columella to mobilize the medial lip.
Card 4
Question: During the C flap elevation and insertion, is muscle dissected?
Answer: No. There is no dissection of muscle.
Card 5
Question: What flaps are elevated for the lateral lip incisions and on what are they based?
Answer: The buccal mucosal flap and the inferior turbinate (T) flap are elevated based on vestibular skin.
Card 6
Question: When opening the free edge of the lateral lip, what tissue is preserved?
Answer: The vermillion medial to CPHL′ on the lateral lip is preserved.
Card 7
Question: Is muscle dissected during the lateral lip incisions?
Answer: No. There is no muscle dissection.
Card 8
Question: Which fibrous attachments are released to mobilize the alar base and lower lateral cartilage (LLC)?
Answer: The fibrous attachments between the LLC and the piriform rim are released.
Card 9
Question: How is the lower lateral cartilage (LLC) advanced and secured when using mucosal flaps?
Answer: With traction on a suspension suture through the dome of the upper lateral cartilage (ULC), the LLC is advanced and its lateral crura sutured to the U
Card 10
Question: What is the role of the T flap and the buccal mucosal flap in nasal reconstruction during these procedures?
Answer: The T flap is rotated and sutured to the piriform rim; the buccal mucosal flap is folded on itself and sutured to the edge of the T flap.