With great interest we have read the article “Acellular human dermis, a good option for correcting the free border deficiency in secondary cleft lip deformity.” by KN Lee and KS Koh.
1The authors share their experience in correcting deficiency of the free border of the upper lip after primary cleft lip repair using a combination of V-Y-advancement of the labial mucosa with either acellular human dermis or temporoparietal fascia. The authors report consistent volume of the augmented free border with both techniques with a mean follow-up of more than a year.
- Lee K.N.
- Koh K.S.
Acellular human dermis, a good option for correcting the free border deficiency in secondary cleft lip deformity.
J Plast Reconstr Aesthet Surg. 2012; 65: 356-362
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- Acellular human dermis, a good option for correcting the free border deficiency in secondary cleft lip deformity.J Plast Reconstr Aesthet Surg. 2012; 65: 356-362
- Dermal and fascial autografts in facial aesthetic surgery.Aesthetic Plast Surg. 1992; 16: 219
Published online: October 05, 2011
Accepted: September 23, 2011
Received: September 13, 2011
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
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- Acellular human dermis, a good option for correcting the free border deficiency in secondary cleft lip deformityJournal of Plastic, Reconstructive & Aesthetic SurgeryVol. 65Issue 3
- PreviewFree border deficiency is often seen after repairing the primary cleft lip. Mild deficiency of this area can be corrected by rearranging available local tissue, but, in severe cases, the absolute shortage of tissue requires recruitment of other tissues for a satisfying result. Although many types of materials have been used, filling materials alone have not provided favourable results. We have therefore attempted to overcome these limitations by combining V-Y advancement of the labial mucosa, with providing additional tissue to the deficient area with acellular human dermis or temporoparietal fascia.