Ufa, Ufa, Russian Federation
employee
Ufa, Ufa, Russian Federation
Minsk, Belarus
employee
Ufa, Russian Federation
graduate student from 01.01.2018 until now
Ufa, Ufa, Russian Federation
Ufa, Ufa, Russian Federation
employee from 01.01.2004 until now
Ufa, Ufa, Russian Federation
employee from 01.01.1983 until now
Ufa, Ufa, Russian Federation
student
Ufa, Ufa, Russian Federation
Objectives. A clinical case of elimination of a rare congenital pathology in a patient with a median isolated cleft lip. Congenital cleft lip is not only a functional malformation in which the structure and function of the orbicular muscle of the mouth is impaired, but also located in an aesthetically significant place that cannot be hidden from the eyes of others. Sucking disorders and aesthetic dissatisfaction are important factors for surgical intervention as soon as possible in order to avoid problems with the social adaptation of the child and his parents in society. Medical care for congenital cleft lip should be timely, highly qualified and accessible to all children in the regions, regardless of the social and financial situation of the family. Reconstructive plastic surgery of the upper lip is the only way to eliminate a congenital cleft, which affects the quality of life, social adaptation and psychological atmosphere in the family. Cheilorhinoplasty is performed at different age periods depending on the type of defect, and the technique of operations for each type of congenital facial defect has its own characteristics. In the literature, we did not find data on the frequency of the birth of children with an isolated median cleft of the upper lip, since this is a rather rare form of congenital cleft. Purpose. Description of the stages and basic principles of cheilorhinoplasty to restore the aesthetics and functionality of the orbicular muscle of the mouth in a rare form of congenital isolated median cleft of the upper lip. Methodology. The paper presents the results of a clinical observation of a 5-year-old patient with congenital isolated median cleft lip and the basic principles of cheilorhinoplasty. Conclusions. There are many types of congenital cleft lip, but adhering to the basic principles above will improve the aesthetic outcome of any upper lip reconstruction technique.
congenital cleft lip, cheilorhinoplasty, median cleft lip, upper lip reconstruction, aesthetic outcome
1. Gvozdeva L.M., Danilova M.A., Aleksandrova L.I. Ocenka prognosticheskih faktorov, vliyayuschih na kachestvo zhizni detey s vrozhdennoy rasschelinoy guby i neba. Stomatologiya. 2020;99(3):57-59. [L.M. Gvozdeva, M.A. Danilova, L.I. Aleksandrova. Assessment of prognostic factors affecting the quality of life of children with congenital cleft lip and palate. Dentistry. 2020;99(3):57-59. (In Russ.)]. DOI: 10.17116/stomat20209903157
2. Grichanyuk D.A., Chuykin S.V., Davletshin N.A., Makusheva N.V. Hirurgicheskoe lechenie vrozhdennoy rasscheliny verhney guby u detey. Problemy stomatologii. 2018;14(1):99-105. [D.A. Grichanyuk, S.V. Chuikin, N.A. Davletshin, N.V. Makusheva. Surgical treatment of congenital cleft lip in children. Actual problems in dentistry. 2018;14(1):99-105. (In Russ.)]. DOI: 10.24411/2077-7566-2018-000018
3. Danilova M.A., Aleksandrova L.I. Kachestvo zhizni detey s vrozhdennoy rasschelinoy guby i neba. Stomatologiya detskogo vozrasta i profilaktika. 2018;17(3):54-57. [M.A. Danilova, L.I. Alexandrova. Quality of life in children with congenital cleft lip and palate. Pediatric dentistry and prevention. 2018;17(3):54-57. (In Russ.)]. https://www.elibrary.ru/item.asp?id=36347137
4. Mitropanova M.N. Kompleksnaya reabilitaciya detey s vrozhdennymi rasschelinami guby i neba na etapah stomatologicheskogo lecheniya. Stomatologiya. 2018;97(3):48-53. [M.N. Mitropanova. Comprehensive rehabilitation of children with congenital cleft lip and palate at the stages of dental treatment. Dentistry. 2018;97(3):48-53. (In Russ.)]. DOI: 10.17116/stomat201897348
5. Prityko A.G., Suleymanov A.B., Molodcova N.A., Saidova G.B. Pervichnaya heylorinoplastika v neonatal'nom periode. Quantum Satis. 2019;2;2(4):58-69. [A.G. Prityko, A.B. Suleimanov, N.A. Molodtsova, G.B. Saidova. Primary cheilorhinoplasty in the neonatal period. Quantum satis. 2019;2;2(4):58-69. (In Russ.)]. https://elibrary.ru/item.asp?id=46573591
6. Rogozhina Yu.S., Blohina S.I., Bimbas E.S. K voprosu detalizacii klassifikaciy vrozhdennoy rasscheliny verhney guby i neba. Problemy stomatologii. 2019;15(4):162-169. [Yu.S. Rogozhina, S.I. Blokhina, E.S. Bimbas. On the issue of detailing the classifications of the congenital cleft of the upper lip and palate. Actual problems in dentistry. 2019;15(4):162-169. (In Russ.)]. https://www.elibrary.ru/item.asp?id=42364573
7. Rogozhina Yu.S., Blohina S.I., Bimbas E.S. Metodologicheskiy algoritm ustraneniya vrozhdennoy asimmetrichnoy rasscheliny verhney guby i neba. 2020;20;2(74):116-122. [Yu.S. Rogozhina, S.I. Blokhina, E.S. Bimbas. Methodological algorithm for the elimination of congenital asymmetric cleft lip and palate. 2020;20;2(74):116-122. (In Russ.)]. DOI: 10.33925/1683-3031-2020-20-2-116-122
8. Rozakova L.Sh., Hamadeeva A.M., Avraamova O.G., Stepanov G.V., Filatova N.V. Epidemiologicheskoe obosnovanie kommunal'nyh programm profilaktiki kariesa postoyannyh zubov dlya detey Samary. Stomatologiya. 2020;99(1):66-69. [L.Sh. Rozakova, A.M. Hamadeeva, O.G. Avraamova, G.V. Stepanov, N.V. Filatova. Epidemiological substantiation of communal programs for the prevention of dental caries for children in Samara. Dentistry. 2020;99(1):66-69. (In Russ.)]. https://www.elibrary.ru/item.asp?id=42479507
9. Supiev T.K., Utepov D.K., Baara A. Kliniko-mikrobiologicheskoe obosnovanie metodov profilaktiki vospalitel'nyh oslozhneniy posle heylo- i uranoplastiki. Stomatologiya detskogo vozrasta i profilaktika. 2007;6;1(20):5-10. [T.K. Supiev, D.K. Utepov, A. Baara. Clinical and microbiological substantiation of methods for preventing inflammatory complications after cheilo- and uranoplasty. Dentistry of childhood and prevention. 2007;6;1(20):5-10. (In Russ.)]. https://www.elibrary.ru/item.asp?id=9573356
10. Chuykin S.V., Akat'eva G.G., Kuchuk K.N., Chuykin O.S., Makusheva N.V., Gil'manov M.V., Muratov A.M. Soputstvuyuschie zabolevaniya u detey s vrozhdennoy rasschelinoy guby i neba v regione s promyshlennymi ekotoksikantami. Voprosy prakticheskoy pediatrii. 2021;16(5):44-49. [S.V. Chuikin, G.G. Akateva, K.N. Kuchuk, O.S. Chuikin, N.V. Makusheva, M.V. Gilmanov, A.M. Muratov. Concomitant diseases in children with congenital cleft lip and palate in a region with industrial ecotoxicants. Practical issues of pediatrics. 2021;16(5):44-49. (In Russ.)]. https://www.elibrary.ru/item.asp?id=47399245
11. Chuykin S.V., Akat'eva G.G., Chuykin O.S., Grin' E.A., Kuchuk K.N. Stomatologicheskaya zabolevaemost' u detey s vrozhdennoy rasschelinoy verhney guby i neba v regione s ekotoksikantami. Stomatologiya detskogo vozrasta i profilaktika. 2019;19(72):15-19. [S.V. Chuikin, G.G. Akat’eva, O.S. Chuikin, E.A. Grin, K.N. Kuchuk. Dental morbidity in children with congenital cleft lip and palate in a region with ecotoxicants. Dentistry of childhood and prevention. 2019;19(72):15-19. (In Russ.)]. https://www.elibrary.ru/item.asp?id=42490586
