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Related Experiment Videos

Philtrum formation in cleft lip surgery.

H Reichert

    Annals of the Academy of Medicine, Singapore
    |April 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    This modified Millard rotation-advancement technique for unilateral cleft lip repair offers good results in selected cases, creating a natural-looking philtral column. The original Millard technique remains preferred for wider clefts.

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    Area of Science:

    • Plastic Surgery
    • Craniofacial Surgery
    • Pediatric Surgery

    Background:

    • The Millard rotation-advancement principle is a standard technique for repairing unilateral cleft lips.
    • Modifications aim to improve aesthetic outcomes, particularly the appearance of the philtral column.

    Observation:

    • A specific modification of Millard's technique was applied in selected cases of unilateral cleft lip repair.
    • This modification utilizes available soft tissue at the columella base to fill the defect.

    Findings:

    • In 189 out of 1305 unilateral cleft lip repairs (1967-1981), this modified technique yielded good results.
    • The modification successfully created a slightly curved scar resembling a normal philtral column in suitable candidates.

    Implications:

    Related Experiment Videos

    • This technique provides an effective alternative for specific unilateral cleft lip cases, enhancing cosmetic results.
    • It highlights the importance of tissue availability in selecting the optimal surgical approach for cleft lip repair.