[The application of composite skin-vermilion triangle fap and functional reposition of orbicularis muscle in congenital cleft lip].

OBJECTIVE

To investigate the ideal method for correction of vermilion deformity in congenital cleft lip.

METHODS

From Mar. 2010 to Jan. 2013, 68 cases with congenital cleft lip underwent vermilion deformities correction with composite skin-vermilion triangle fap and functional reposition of orbicularis oris muscle.

RESULTS

Primary healing was achieved in all the patients. 46 cases were followed up for 3 months to one year. Asymmetric thickness of vermilion and tubercle malposition happened in 8 cases. All the other patients had a satisfactory result with symmetric and fluent cupid' s bow and everting tubercle.

CONCLUSION

Well reposition of orbicularis oris muscle is key for correction of vermilion deformity and tubercle reconstruction. This technique is very simple and practical.