AN

INTRODUCTION

TO

NASAL

AND LABIAL

CORRECTIONS

UNLIKE
LABIAL IN

UNILATERAL

CLEFT PROCEDURES

IN

WHICH SECONDARY

NASAL

AND

CORRECTIONS CAN AND USUALLY SHOULD BE CARRIED

BILATERAL CLEFT

OUT SEPARATELY
CORRECTIONS ARE

THE

COMBINED
OF THE

NASAL

AND

LABIAL

MANUAIUTY
ENTIRE

BECAUSE

VARYING

DEGREES OF SHORTNESS OF THE

CLEFTS

FRONTONASAL COMPONENT IN
LIP TO FORK

BILATERAL DETRAY

THE NOSE DEPENDS

ON THE
THE LIP

UP OR OTHERWISE
ITS

EXTRA NASAL EXPENSES AND

ITS

MUST PAY
IF THERE

NASAL
STILL

TAX
DRAFT

BEFORE TRYING TO BALANCE

OWN

BUDGET
USUALLY

IS

LACK

OF LIP

FUNDS THEN

AS THE

LOWER LIP

HAS

SURPLUS POINT
IS

CAN BE THE

DRAWN FROM BELOW THE

RESIDUAL BILATERAL
CLEFT

IMPORTANT UPPER

TO LOWER

CONSIDER

ENTIRE

LZ

NOSE

AND

LI

ANATOMY

AS THE TOTAL

REMAINING
TO CRISSCROSS

CAPITAL

SETUP IN THREE SEPARATE AS

CHECKING

ACCOUNTS WITH FREEDOM

FUNDS

NEEDED BY THE PROCESS OF DEPOSIT DEPENDING UPON THE CONDITION

SURGERY CLOSURE

AND WITHDRAWAL AND THE

RESULT STATE

OF THE COLUMELLA
IS

OF THE PRIMARY
THAT

LIP

THE SECONDARY
CLEFT LIP

PLANNED

AS

OF THE DESIGNS CORREC

IN

BILATERAL

THERE ARE FOUR TYPICAL

FOR SECONDARY

SEEM THEY

TO PRESENT THEMSELVES
ALL

MOST OFTEN
TIP

TION

HAVE

FLAT

NASAL

AND SHORT COLUMELLA WIDE PROLABIUM

OR JUADRILATERAL

COM
WHIS
FLAPS

MON
TLING

AND MAY SHOW IN

DEFORMITY

ADDITION

OR TRIANGULAR

JOINING IN

EACH OTHER BELOW THE PROLABIUM

TO THE REVISION

ADDITION

OF SCARS APPROXIMATION

OF MUSCLES

BALANCE

OF THE FREE BORDER AND CREATION OF THE PHILTRUM

DIMPLE

CUPIDS

BOWAND

UPPER SULCUS

THERE ARE BASIC

ADJUSTMENTS PART OR
OUT OF THE LIP
IT

THE WHOLE OF THE PROLABIUM

MAY

BE SHIFTED

MAY

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BE REDUCED OR
THE LOWER LIP
ALL

JUST

REVISED

AN ABBE

FLAP

MAY

BE TRANSFERRED

FROM
AN

IN
TO

FACT EVERY TRICK

CREATE

AVAILABLE

SHOULD

BE USED IN

OUR EFFORT

THE IDEAL

NORMAL
DEMONSTRATE THE FOLLOWING OF FUNDS HAVE OF THE BIG

THE
FIRST

NEXT

THREE

CHAPTERS WILL

RESULTS OF THE VARIOUS PRIMARY

FOR

PORTIONING

BEEN RESPONSIBLE
FOUR

THE MAINTENANCE

OR PRODUCTION

COMMON BASIC

PROBLEMS

SHORT COLUMELLA SHORT LIP

LONG TIGHT

LIP LIP

THEN
APPEAR OF THE

TO CONFUSE THE ISSUE

FURTHER SELDOM DOES JUST

IS

ONE OF THESE

ALONE FAR MORE

FOUR
ALL

LIKELY

COMBINATION
IN ADDITION OF THE BY

OF AS THERE

MANY
ARE

AS THREE

IN

ONE CASE

MULTIPLE

DEFORMITIES SECOND

ASSOCIATED

WITH EACH

FOUR MAIN PRINCIPLES

CATEGORIES

SECONDARY

ATTEMPTS GUIDED

HAVE BEEN

USED TO BALANCE THE TOTAL BUDGET TOWARD BER THAT

HAPPY WITH

NORM

REMEM
LONG LIP

ALTHOUGH THE
LIP

THREE

CHAPTERS DEAL

SHORT LIP

AND

TIGHT

THE EXAMPLE CASES USED OFTEN HAVE

EITHER

SHORT COLUMELLA
IS

AND CAN BE

SHORT OR LONG BUT

CASE

TIGHT

TOO THERE
CHAPTER

REASON

WHY

EACH

SPECIFIC

APPEARS

IN

CERTAIN

BUT KEEP
ASPECTS

FLEXIBLE

AND LOOK OUT

FOR THE

SOMETIMES SUBTLE

ANCILLARY

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