BACKGROUND: To improve the rotation of Cupid's bow and achieve sufficient vertical lip height, several variations of the Millard rotation-advancement have incorporated a small laterally based triangular @entity1912 above the cutaneous roll. This study uses three-dimensional photogrammetry to evaluate the outcomes of @entity3384 repairs performed with and without pennant flaps. METHODS: Three-dimensional photographs were analyzed to assess postoperative lip height asymmetry in 90 @entity3384 @entity1 (58 complete and 32 incomplete) treated between 2001 and 2012. @entity3384 repairs were performed by three pediatric cleft surgeons using different techniques. Thirty-nine of 90 procedures (43 percent) used an inferiorly placed triangular @entity1912 . All @entity1 were photographed at least 9 months postoperatively (mean, 4.2 years). Lip height asymmetry was based on the vertical distances from the subnasale to the peaks of Cupid's bow. RESULTS: Regression analysis revealed that the use of a pennant @entity1912 was a significant predictor of postoperative lip height asymmetry (b = 4.2 percent, p = 0.015). The surgeon performing the repair was also a significant factor in @entity1 with complete @entity3384 (b = 3.6 percent, p = 0.005). All three surgeons achieved greater lip height symmetry when a pennant @entity1912 was performed. CONCLUSIONS: The results of @entity3384 repairs are affected by both the surgeon and the surgical technique. Procedures that used a pennant @entity1912 showed better philtral height symmetry than nonpennant repairs. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.

The Use of an Inferior Pennant XXXX during Unilateral Cleft Lip Repair Improves Lip Height Symmetry.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1912 :: ('241', 'Gene') :: ['flap'] @entity3384 :: ('MESH:D002971', 'Disease') :: ['unilateral cleft lip', 'Cleft lip', 'cleft lips']
@entity1912 :: (241,Gene) :: ['Flap']
