Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Unilateral cleft lip repair.

L R Mohler1

  • 1Department of Surgery, Ohio State University College of Medicine, Columbus.

Plastic and Reconstructive Surgery
|October 1, 1987
PubMed
Summary

This modified Millard rotation advancement technique for unilateral cleft lip repair effectively lengthens the columella and improves lip symmetry. The method minimizes the need for revision surgeries related to the lip segment or columellar base.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Bilateral compartment syndrome of the leg complicating tetanus infection.

Orthopedics·2001
Same author

Disorders of the thumb sesamoids.

Hand clinics·2001
Same author

Intermittent reperfusion fails to prevent posttourniquet neurapraxia.

The Journal of hand surgery·1999
Same author

Effects of tourniquet compression on neuromuscular function.

Clinical orthopaedics and related research·1999
Same author

Intramuscular deoxygenation during exercise in patients who have chronic anterior compartment syndrome of the leg.

The Journal of bone and joint surgery. American volume·1997
Same author

Pressure generation beneath a new thermoplastic cast.

Clinical orthopaedics and related research·1996

Area of Science:

  • Plastic Surgery
  • Craniofacial Surgery
  • Pediatric Surgery

Background:

  • Unilateral cleft lip repair presents challenges in achieving optimal lip symmetry and nasal aesthetics.
  • The Millard rotation advancement procedure is a common technique, but modifications are explored to enhance outcomes.

Purpose of the Study:

  • To describe and evaluate a modified Millard rotation advancement technique utilizing columellar base tissue.
  • To assess the effectiveness of this modification in unilateral cleft lip repair, focusing on lip segment rotation and columellar length.

Main Methods:

  • Modification of the medial lip segment marking to incorporate tissue from the columellar base.
  • Utilizing a 90-degree cutback and full-thickness release of the medial lip segment for rotation.
  • Advancing a C-flap into the columellar base donor defect to lengthen the columella on the cleft side.

Main Results:

  • The technique resulted in a scar simulating a mirror image of the noninvolved philtral column.
  • Fifty-seven patients underwent repair over 14 years with no secondary surgeries needed for medial lip segment rotation or columellar base defects.
  • Some patients required revisions for mucosal irregularities or residual nasal deformities, independent of the primary lip repair technique.

Conclusions:

  • This modified Millard rotation advancement technique provides reliable correction of the medial lip segment and effective columellar lengthening.
  • The method demonstrates a low rate of revision surgeries specifically for the primary repair site, indicating its robustness.

Related Experiment Videos