Indian Journal of Plastic Surgery
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 ORIGINAL ARTICLE
Year : 2008  |  Volume : 41  |  Issue : 2  |  Page : 167--170

Notch-free vermillion after unilateral cleft lip repair: The Charles Pinto centre protocol


Department of Plastic Surgery, Burns, Charles Pinto Centre for Cleft Lip, Palate and Craniofacial Anomalies, Jubilee Mission Medical College and Research Institute, Trichur-680 005, Kerala, India

Correspondence Address:
H S Adenwalla
Department of Plastic Surgery, Burns, Charles Pinto Centre for Cleft Lip, Palate and Craniofacial Anomalies, Jubilee Mission Medical College and Research Institute, Trichur-680 005, Kerala
India
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DOI: 10.4103/0970-0358.44935

PMID: 19753258

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A notch on the vermillion is one of the most common complications following the repair of a unilateral cleft lip. Several methods have been described for the secondary correction of a notch. However, there are only a few reports on how the notch can be prevented during primary lip repair. Causes of a vermillion notch were analysed at the Charles Pinto Centre for Cleft Lip and Palate and each possible cause addressed by an appropriate procedure. This protocol was then followed in every patient. In this manner, we have been able to avoid notches in unilateral cleft lips altogether and more significantly, junior trainees in our department have also been able to consistently avoid a notch in their repairs.






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