Complete Unilateral Cleft Lip and Palate Repair: A Modification of the Millard Surgical Technique

Abstract

Cleft lip is one of the most commonly encountered craniofacial deformities. The comprehensive treatment of cleft lip and palate deformities requires thoughtful consideration of the anatomic complexities of the deformity and the delicate balance between intervention and growth. As evidenced by the multiple techniques that have been developed for its repair, a functionally and aesthetically pleasing result is challenging to attain. In this study, we describe a modification of the surgical technique for the repair of complete unilateral cleft lip and palate, through the design of flag-shaped flaps without removing any tissue, as a modification to the rotation and advancement flaps or Millard technique.