Reconstructive

530) Which of the following statements regarding the surgical repair of bilateral cleft lip is FALSE?

A. Single-stage repair is recommended in symmetrical bilateral cleft lips with moderate protruding prolabium and premaxilla.
B. Single-stage repair maximizes symmetry of the lip compared to the two-stage procedure.
C. The orbicularis oris muscle from each lateral lip segment is advanced supero-medially and sutured to the nasal sills.
D. The mid-prolabial flap will form the philtrum.
E. The two lateral prolabial flaps will be sutured to form the nasal sill and the nasal floor on each side of the nose.




REFERENCES & ANSWER



Dyleski R. A., Crockett D. M., Seibert R. W.: Cleft Lip and Palate: Evaluation and Treatment of the Primary Deformity, Chapter 80 Head and Neck Surgery – Otolaryngology, (Bailey), Volume I, Lippincott Williams & Wilkins, Third Edition, pp. 969-970, 2001

Capone R. B., Sykes J. M.: Evaluation and Management of Cleft Lip and Palate Disorders, Chapter 76 in Facial Plastic and Reconstructive Surgery (Papel, I. editor), Thieme, Third Edition, 2009, pp. 1059-1078




530) C          The orbicularis oris muscle from each lateral lip segment is advanced supero-medially and sutured to the nasal sills.