Treating lower lip fistulas in Van der Woude syndrome using inverted‐T lip reduction: An experience

Abstract

Van der Woude syndrome is characterized by the concurrence of cleft lip and palate with lower lip fistulas. During fistula resection, care must be taken to maintain the function of the orbicularis oris and restore the normal shape of the lips. Several reports have documented various resection methods; however, the most appropriate surgical resection is controversial. In this report, lower lip fistulas were resected using an inverted‐T surgical design.Of the six patients with Van der Woude syndrome who underwent resection of the lower lip fistula in our department between January 2007 and December 2015, three patients who underwent inverted‐T lip reduction were included. The postoperative position‐dependent morphology of the fistulas was examined.Five years postoperatively, no complications such as postoperative infections, mucous retention cyst formation, a dysmorphic appearance of the lip, or fistula recurrence were observed. Moreover, a stable wound morphology was evident.The inverted‐T lip reduction seems to be promising technique for the excision of lower lip fistulas in patients with Van der Woude syndrome, yielding good results.