Author's reply to comment on "Unit approach for vermilion repair in unilateral cleft surgery"

Author's reply to comment on "Unit approach for vermilion repair in unilateral cleft surgery" Eur J Plast Surg (2003) 26:221 DOI 10.1007/s00238-003-0525-6 AUTHOR’S REPLY Kiyoshi Onishi Author’s reply to comment on “Unit approach for vermilion repair in unilateral cleft surgery” Published online: 28 May 2003 © Springer-Verlag 2003 Dear Sir: the design of the procedure appears to be a modification of the Millard procedure, the entire procedure including We wish to thank Dr. Baran et al. for their valuable the treatment of muscle layers and mucosa may be re- comments. As they have suggested, various measures garded as one of a different concept. We designed the are necessary to repair cleft lip and palate. We have not white lip by adjusting it at the philtral ridge, also in the ignored the Onizuka procedure. As Japanese researchers upper half originating at the medial crural footplate. We we understand the great accomplishment of our country- further added a small triangular flap. For these reasons man no less than Baran et al. do. The Onizuka proce- we described our procedure as a modified Millard pro- dure was devised to improve the Millard procedure and cedure. was initially introduced as a modified Millard proce- In our report we wanted to emphasize that the suture dure. However, as Onizuka himself has noted, although line was placed at the center of the vermilion. We did so because on close observation there is a whitish line in the center of the vermilion, and suturing along this line This reply refers to the comment available at was considered to give an esthetically satisfactory result. 10.1007/s00238-003-0524-7 There are a large number of reports on cleft lip repair, K. Onishi ( ) and it is impossible to cite all of them. We selected origi- Department of Plastic and Reconstructive Surgery, nal ones that are relevant to the subject of this report as Toho University Hospital, references. This is a preliminary report, and we intend to 6-11-1 Omorinishi, Ota-ku, 143-8541 Tokyo, Japan study this technique over the long term and will report e-mail: Tel.: +81-3-37624151, Fax: +81-3-32986065 our results in due course. European Journal of Plastic Surgery Springer Journals

Author's reply to comment on "Unit approach for vermilion repair in unilateral cleft surgery"

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