{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T10:00:23Z","timestamp":1774951223496,"version":"3.50.1"},"reference-count":8,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,11,25]]},"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:p>Several techniques are available for the surgical repair of the cleft lip, however, avoiding secondary deformities and achieving consistent results remains a challenge. The whistle deformity is a secondary lip deformity characterised by inadequate fullness of the central upper lip with abnormal exposure of the central incisors when the lips are at rest, giving a whistling appearance. The causes include scarring of the vermilion and failure to restore the mucosal or muscular continuity. Various surgical options are available ranging from simple procedures like V-Y plasty and Z-plasty to complex procedures like complete lip redo, locoregional flaps, fillers and grafts. V-Y plasty is a simple, effective procedure for lip lengthening that can be performed under local anaesthesia as an outpatient procedure. It is less technique sensitive and also allows for some degree of muscle repair. We present a case of whistle deformity satisfactorily corrected with V-Y plasty.<\/jats:p>","DOI":"10.1136\/bcr-2021-246303","type":"journal-article","created":{"date-parts":[[2021,12,22]],"date-time":"2021-12-22T12:01:15Z","timestamp":1640174475000},"page":"e246303","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Correction of whistle deformity secondary to cleft lip repair by V-Y plasty: a simple and effective technique"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5629-0153","authenticated-orcid":false,"given":"H Hari Kishore","family":"Bhat","sequence":"first","affiliation":[{"name":"Oral and Maxillofacial Surgery\/Center for Craniofacial Anomalies, Yenepoya Dental College, Mangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Varsha Haridas","family":"Upadya","sequence":"additional","affiliation":[{"name":"Oral and Maxillofacial Surgery, Yenepoya Dental College, Mangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,12,22]]},"reference":[{"key":"2025082700234531000_14.12.e246303.1","doi-asserted-by":"crossref","first-page":"171","DOI":"10.4103\/0970-0358.118591","article-title":"Unfavourable results in the repair of the cleft lip","volume":"46","author":"Narayanan","year":"2013","journal-title":"Indian J Plast Surg"},{"key":"2025082700234531000_14.12.e246303.2","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1016\/S1042-3699(02)00047-X","article-title":"Scar revision of the cleft lip","volume":"14","author":"Doonquah","year":"2002","journal-title":"Oral Maxillofac Surg Clin North Am"},{"key":"2025082700234531000_14.12.e246303.3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1093\/jscr\/rjab026","article-title":"Reconstruction of Whistling deformity using V-Y advancement flap after primary cleft lip repair","volume":"2021","author":"Notodihardjo","year":"2021","journal-title":"J Surg Case Rep"},{"key":"2025082700234531000_14.12.e246303.4","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1097\/SAP.0b013e3182583d11","article-title":"An algorithmic approach to management of whistle deformity","volume":"72","author":"Bhandari","year":"2014","journal-title":"Ann Plast Surg"},{"key":"2025082700234531000_14.12.e246303.5","doi-asserted-by":"crossref","DOI":"10.1097\/GOX.0000000000001092","article-title":"Vermilion only Cross-lip flap for treating whistle deformity in secondary bilateral cleft lip repair","volume":"4","author":"Sheckter","year":"2016","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"2025082700234531000_14.12.e246303.6","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1177\/1055665619900623","article-title":"Novel passage of dermis-fat graft for augmentation of vermilion deficiency following cleft lip repair","volume":"57","author":"Sasson","year":"2020","journal-title":"Cleft Palate Craniofac J"},{"key":"2025082700234531000_14.12.e246303.7","doi-asserted-by":"crossref","first-page":"1557","DOI":"10.1016\/j.jcms.2019.07.010","article-title":"Objective evaluation of vertical Z-plasty with double transposition vermillion flaps for secondary Whistling deformity correction: a method for uni- and bilateral correction","volume":"47","author":"Scheller","year":"2019","journal-title":"J Craniomaxillofac Surg"},{"key":"2025082700234531000_14.12.e246303.8","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1016\/j.bjps.2003.11.007","article-title":"Free dermis-fat graft to correct the whistle deformity in patients with cleft lip","volume":"57","author":"Patel","year":"2004","journal-title":"Br J Plast Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-246303","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:23:55Z","timestamp":1756279435000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-246303"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12]]},"references-count":8,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2021,12,22]]},"published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.1136\/bcr-2021-246303"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-246303","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12]]}}}