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Official Journal of the Italian Society of Maxillofacial Surgery
Frequency: 3 issues
Online ISSN 1827-1901
Pacino G. A., Berengo A., Cenzi R.
Department of Maxillo-Facial Surgery and Odontostomatology Hospital S. Maria della Misericordia, Rovigo, Italy
Aim. The primary cleft lip surgery has undergone vast improvement in treatment plan and surgical procedure but revision of residual deformities continues to be a major challenge. Correction of these deformities first requires a thorough evaluation of the lip to determine which tissues are deficient. Minor vermilion deficiencies can be addressed by means of local tissue rearrangement. In some patients the paucity of neighbouring tissues of the upper lip precludes reconstructive possibilities and augmentation techniques should be take in consideration in order to restore the lip aesthetic and function. Lip augmentation with Temporoparietal fascial graft is a versatile and reliable method to restore the vermilion deficiencies. The tissue is available in plenty, easy to harvest, soft in consistency and shows a minimal postoperative shrinkage.
Methods. From 1998 to 2006, the Temporoparietal fascial free graft was used successfully to correct deficiencies of the free border of the superior lip in 38 patients with secondary cleft lip deformities.
Results. The procedure and postoperative course had a pleasing outcome and were without any mayor complications. There were three graft exposures that healed with conservative treatment. No significant donor site morbidity was observed. The follow-up time ranged from 3 months to 5 years. Aesthetical and functional outcomes were considered satisfactory over the time.
Conclusion. The temporoparietal fascial free grafts seem to be an ideal material and a very simple and useful method of augmentation of the free border of lip deficiencies in secondary cleft lip deformities.