Cutting’s Technique of Bilateral Cleft Lip Repair

Flores, Roberto L.; Cutting, Court B.

doi:10.1007/978-3-642-38382-3_11

Cited by 1 publication

(2 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[ 3 ] Several modifications applied to the original rotation-advancement technique. [ 7 8 ] Mishra modified Millard’s technique and used WRV flap from the lateral lip element to form the vermilion and white roll on the medial lip. [ 9 ]…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparative Study between Modified Millard and White Roll Vermilion Flap Techniques in Unilateral Lip Repair: A Randomised Controlled Study

Mabrouk,

Abdullateef,

Abdelsattar

et al. 2024

African Journal of Paediatric Surgery

View full text Add to dashboard Cite

Background: Cleft lip and palate, which affects 0.5–1.6 out of every 1000 live births, is the most prevalent congenital defect of the head and neck. Several approaches, including quadrangular flaps, triangular flaps and rotation-advancement procedures, White Roll Vermilion Turn Down Flap (WRV flap) from the lateral lip element were employed by Mishra to modify Millard’s technique to create the vermilion and white roll on the medial lip segment. This study aimed to use the anthropometric measurements taken pre- and post-operation to evaluate quantitative assessment of modified Millard technique compared with WRV flap technique in unilateral cleft lip (UCL) repair. Materials and Methods: Prospective, randomised controlled study recruited infants scheduled for UCL repair. Infants aged 3–6 months, either complete or incomplete deformity. A total of 42 patients were randomized in 1:1 ratio to undergo either WRV flap technique (group A) or modified Millard technique (group B) and another control included 21 age-matched healthy children. We compared WRV flap procedure to Modified Millard’s procedure in terms of both qualitative (another surgeon’s opinion) and quantitative (anthropometric) evaluation. Results: Vertical lip length and philtral lip height significantly longer in Millard group (B) than WRV flap group (A) in immediate postoperative assessment and nasal width was significantly wider in WRV flap group (A) than Millard group (B) in 3-month post-operative assessment. The lip shape, the vermilion shape was better in Millard technique than WRV flap technique; however, this was statistically insignificant. However, no major difference in the overall results between the WRV flap and Millard rotation-advancement repairs. Conclusion: Anthropometric measurement of surgical outcome evaluates the surgical technique used and helps to compare between cleft and non-cleft side showing the degree of deformity and we used subjective assessment to analyse facial aesthetics. Overall results demonstrate no significant differences between modified Millard technique and WRV flap technique.

show abstract

Section: Discussionmentioning

confidence: 99%

“…The initial rotation-advancement technique underwent various variations. [ 7 8 ] Vermilion notching and a scar along the philtral line can be noticed in Millard’s repair. The Cupid’s bow is distorted and the white roll up is pulled up by scar contracture.…”

Section: Introductionmentioning

confidence: 99%