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Modified Millard's technique in operations for unilateral cleft lip
Predrag Knežević1, Lovro Grgurević, Vedran Uglešić
1Department of Oral and Maxillofacial Surgery, Zagreb School of Dental Medicine, Zagreb, Croatia.
Journal of Plastic Surgery and Hand Surgery
|August 31, 2012
Summary
This modified rotation-advancement technique offers effective primary and secondary cleft lip repair. It provides improved lip rotation and elongation, achieving good results without further surgery.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Pediatric Surgery
Background:
- Millard's rotation-advancement technique is a popular method for cleft lip repair.
- Existing techniques may have limitations in addressing specific cleft lip deformities.
Purpose of the Study:
- To present a modified rotation-advancement technique for cleft lip repair.
- To evaluate the efficacy of this modified technique in primary and secondary corrections.
Main Methods:
- A modified rotation-advancement incision was used in 32 patients.
- The technique was applied in both primary and secondary cleft lip surgeries.
- Patients were followed up for two years post-surgery.
Main Results:
- All 32 patients achieved good postoperative outcomes.
- No secondary corrections were required for any of the patients.
- The modification successfully provided necessary lip rotation and elongation.
Conclusions:
- The modified rotation-advancement technique is effective for primary cleft lip repair, especially when the cleft side is short.
- This technique is also highly useful for all aspects of secondary cleft lip correction.
- The described modification offers reliable and satisfactory results, minimizing the need for further interventions.
