Analysis of the Millard method for unilateral cleft lip repair / 中华整形外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To analyze and describe the advantages and disadvantages of the Millard repair in the unilateral cleft lip (UCL).</p><p><b>METHODS</b>In 30 patients with UCL undergoing the cleft lip repair with the Millard I or II method, the vermilion was repaired by a modified method with a triangle flap, while the alar cartilage reposition was performed.</p><p><b>RESULTS</b>Postoperative follow-up of 6-12 months revealed the good results with invisible scar, good preservation of philtrum dimple and column, full vermilion and lengthened columella, good alar cartilage reposition.</p><p><b>CONCLUSION</b>The Millard method is good for UCL repair. The modified technique with a triangle flap on the vermilion edge can overcome Millard's disadvantages. The anatomic reposition of the affected alar cartilage by blunt dissection at the first stage is suitable for the oriental.</p>