Figure 9 - uploaded by Ricardo D Bennun
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10 Closure of vestibular sulcus, nasal floor, and posterior wall of the lip, is completed by suturing both sides of the mucosal flaps. The last millimeters of the alveolar gap are not touched. Lateral skin resection reproduces the normal philtrum pillar.
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Presurgical naso alveolar remodeling join to a complete reconstruction of the lip and nose, in one setting is a better option for children presenting with a unilateral cleft lip and palate. A very conservative high gingivoperioplasty, and muscular reconstruction of the nasal floor, is recommended to prevent oro nasal fistula. Primary bone graft and...
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Median cleft is rare among facial clefts, including bilateral and unilateral clefts. Median upper cleft lip and median alveolar cleft correspond to Type 14 and Type 0, respectively, in Tessier's classification system. Some authors have reported surgical procedures for median cleft. In the case of median alveolar cleft, bone grafting to the cleft si...
