Formerly Professor of Oral and Maxillofacial Surgery, University of Hong Kong and Chief of Service for Oral and Maxillofacial Surgery, Queen Mar Hospital, Hong Kong.
Editor-in-Chief, International Journal of Oral and Maxillofacial Surgery
Honorary Professor, University of Hong Kong
International association of Oral and Maxillofacial Surgeons
Asian Association of Oral and Maxillofacial Surgeons
Severe secondary cleft lip deformity involves acquired problems in lip bulk, lip symmetry, disruption of significant landmarks, or even congenitally abnormal tissue structure. These severe deformities which can affect unilateral as well as bilateral cleft lip often require a more radical approach for adequate correction. The options include re-splitting the lip and systematic re-setting of lip components or augmentation through a pedicled flap external to the deformed lip. The options, indications, disadvantages and application of a variety of solutions will be demosntrated and discussed with a view to clarifying decision-making when approaching surgical correction.