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Research Article| Volume 46, ISSUE 8, P676-680, December 1993

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The modified Z-plasty for unilateral cleft lip repair

  • D.B. Fernandes
    Affiliations
    Department of Plastic Surgery, Red Cross War Memorial Children's Hospital, Cape Town, South Africa

    University of Cape Town,South Africa
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  • D.A. Hudson
    Correspondence
    Requests for reprints to D. A. Hudson, Ward F16, Groote Schuur Hospital, Observatory 7925, Cape Town, South Africa.
    Affiliations
    Department of Plastic Surgery, Red Cross War Memorial Children's Hospital, Cape Town, South Africa

    University of Cape Town,South Africa
    Search for articles by this author
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      Abstract

      In 1965 Davies described a Z-plasty technique for the repair of a unilateral cleft lip. The technique has been modified so that the scars are more aesthetically placed and the orbicularis muscle correctly aligned. A prospective study was performed comparing the results of this modified Z-plasty with the rotation advancement repair. Twelve patients had a modified Z-plasty and 10 a rotation advancement repair. The modified Z-plasty compares favourably with the rotation advancement technique for the repair of a unilateral cleft lip. In particular, the incidence of asymmetry of lip height was greater in the rotation advancement group.

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