Modified Millard's technique in operations for unilateral cleft lip

Abstract

Many approaches have been described, but the rotation-advancement technique described by Millard remains one of the most popular repair techniques for correction of cleft lip. The technique described here is a modified method that can be used in primary cleft surgery but also for secondary correction, using the same incision with a small modification in design. Thirty-two patients were followed up for two years, all of whom had good postoperative results without secondary correction. The modification provides rotation and elongation of the lip where it is needed. This technique can be useful for all aspects of secondary cleft lip correction, but is also useful in primary surgery when the cleft side is too short.

A Case Report: Unilateral Complete Cleft Lip Reconstruction Using the Modification Millard Technique

“…Since it can create a natural philtral column, the rotationadvancement technique described by Millard remains one of the most used repair techniques for cleft lip restoration. However, the majority of surgeons utilize a modified version of the rotationadvancement flap 12,13 .…”