Secondary Soft Tissue Revision Surgery at Skeletal Maturity in Patients with Orofacial Clefts

    December 2022
    Alexandra Junn, Jacob Dinis, Joseph Lopez, Derek M. Steinbacher
    TLDR Additional surgeries are often needed to fix facial issues in patients with orofacial clefts.
    Secondary soft tissue defects in patients with orofacial clefts include scars, asymmetry, vermilion and white roll incongruencies, nasal deformities, and soft tissue volume deficiencies. Multiple surgeries before skeletal maturity can disrupt facial growth. This review discusses residual defects affecting the lip and their surgical management, noting that bilateral cleft lip patients may have additional specific deformities. Postoperative palate deformities can result from improper wound healing. Adjunctive aesthetic procedures are crucial for correcting these secondary deformities.
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