Presurgical naso-alveolar molding paired with cheiloplasty to treat median cleft lip deformity in holoprosencephaly

Abstract We report median cleft lip in an infant girl with lobar-typed holoprosencephaly who underwent presurgical naso-alveolar molding and subsequent cheiloplasty. At seven months postoperatively, we observed an upper lip with natural cupid-bow-shape formed with a nasal dome and two nostrils separated with reconstructed columella, which were maintained for eight years.

[1]  M. Livaoğlu,et al.  Columellar Reconstruction: A New Technique for Median Cleft Lip Repair. , 2017, The Journal of craniofacial surgery.

[2]  N. Morita,et al.  Two cases of single-stage lip and nostril reconstruction in holoprosencephaly. , 2011, International journal of oral and maxillofacial surgery.

[3]  A. Walecka,et al.  Lobar Holoprosencephaly with a Median Cleft: Case Report , 2009, The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association.

[4]  M. Noga,et al.  The face does predict the brain--midline facial and forebrain defects uncovered during the investigation of nasal obstruction and rhinorrhea. Case report and a review of holoprosencephaly and its classifications. , 2006, International journal of pediatric otorhinolaryngology.

[5]  M. Granick,et al.  Plastic surgery considerations for holoprosencephaly patients. , 2004, The Journal of craniofacial surgery.

[6]  M. Cohen,et al.  Holoprosencephaly survival and performance. , 1999, American journal of medical genetics.

[7]  E. Voy Single stage repair of the median cleft lip deformity in holoprosencephaly. , 1989, Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery.

[8]  J. Barron,et al.  Reconstruction of the columella with alar margin flaps. , 1980, British journal of plastic surgery.

[9]  B. Eppley,et al.  Single stage repair of the median cleft lip deformity in holoprosencephaly. , 1989, Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery.