[A case report of a true median cleft of the upper lip with a pedunculated median skin-mucosa mass]. / Comunicazione su di un caso di schisi mediana vera del labbro superiore con massa peduncolata mediana cutaneo-mucosa.

The Authors report an unusual case of median cleft of the upper lip with pedunculated skin and muscle contracting mass. About one hundred cases of true median cleft lip have been reported, only six showing a median pedunculated mass. As the embryogenesis of this malformation is still not completely clear, we think that any case with this characteristic has to be described. Besides the usual characteristic of the median "hare lip" this case shows a big egg-like pedunculated mass in which muscular tissue has been found well represented, and a wide incomplete maxillary cleft.

[Our experience in the correction of a short frenulum labialis by Z-plasty]. / La nostra esperienza nella correzione della brevità del frenulo labiale mediante plastica a "z".

The authors report their experience of the reconstruction by z-plasty in cases of shortness of the lip frenum. Amongst several techniques they used for this correction they got best results utilizing a z-plasty, with wide flaps, planned so that after the transposition of the flaps the medial branch of the z-plasty falls horizontally into the deeper vestibular fornix. In all cases treated by that z-plasty the A. obtained a widening of the adherent part of the gingiva, deepening of the vestibulum, no recurrence of the shortness was observed.

[A proposal for a protocol for the registration of data on cases of cleft lip and jaw]. / Proposta di un protocollo per il rilevamento dei dati inerenti i casi di cheilognatoschisi.

The Authors describe a standardized registration system applied to gnathoplasty and its follow-up. That allows both longitudinal growth study and clinical evaluations on the surgical method. If similar standardized registration systems could be adopted by several clinical teams, a comparison between different gnathoplasty methods should be possible and obviously useful.

[Hypertrophy of the concha of the auricle. Details of the technic]. / Ipertrofia della conca del padiglione auricolare. Un dettaglio di tecnica.

Ear concha hypertrophy corrected by elliptical conchal excision often resulted in deformity due to lateral deviation of the anterior part of the concha. A modification of the method allows to avoid that deviation: the conchal ellipse is left connected to the conchal floor, is weakened by half thickness incisions parallel to the edge; the conchal floor thus flattened is sutured to the lateral side of the head by non absorbable suture.

[A simple method for proposing several profiles to patients undergoing rhinoplasty or profileplasty]. / Semplice metodo per proporre vari profili ai pazienti da sottoporre a rinoplastica o profiloplastica.

The authors describe a simple mean to visualize the several profiles which is possible to perform in the patient who is undergoing rhinoplasty or profiloplasty procedure. Failure in giving a clear opportunity of choice of a profile may lead to misunderstanding between surgeon and patient.

Repair of skull defects by autogenous bone grafts.

To repair the infant skull as completely and efficiently as possible, the authors describe and recommend greater use of an autogenous graft taking the outer table of the skull from adjacent or symmetrical sites to the defect.