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Personal technique for definite repair of complete unilateral cleft lip: modified Millard technique
Archives of Craniofacial Surgery ; : 3-12, 2018.
Artigo em Inglês | WPRIM | ID: wpr-713129
ABSTRACT

BACKGROUND:

Millard’s rotation-advancement repair, which is used by many surgeons, can make a natural philtral column, but most surgeons use a modification of the rotation-advancement flap. The purpose of this article is to introduce a modification utilized by the authors and to provide detailed surgical procedure.

METHODS:

We retrospectively reviewed 82 patientsmedical records and presented surgical technique and outcomes. The main features of the authors’ strategy are emphasizing horizontal length of the lip, orbicularis oris muscle duplication for improving the definition of the philtral column, overcorrection of domal portion than the non-cleft side in order to compensate for the recurrence during growth. Two judges rated two times the appearance of the patientsnose and lip using Asher-McDade aesthetic index. Intra- and interobserver reliabilities were determined using Cohen’s kappa statistics.

RESULTS:

All patients recovered eventually after surgery; however, two patients have a minor complications (wound infection in one patient, wound disruption due to trauma in the other patient). The improvement of the aesthetic results can be achieved with this modified Millard technique. Total mean scores of the Asher-McDade index was 2.08, fair to good appearance. The intraobserver reliabilities were substantial to almost perfect agreement and the interobserver reliabilities were moderate to almost perfect agreement.

CONCLUSION:

We modified Millard method for repair of complete unilateral cleft lip. The surgical outcomes were favorable in long-term follow-up. We hope our technique will serve as a guide for those new to the procedure.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Recidiva / Rinoplastia / Ferimentos e Lesões / Nariz / Prontuários Médicos / Estudos Retrospectivos / Seguimentos / Fenda Labial / Esperança / Cirurgiões Tipo de estudo: Estudo observacional / Estudo prognóstico Limite: Humanos Idioma: Inglês Revista: Archives of Craniofacial Surgery Ano de publicação: 2018 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Recidiva / Rinoplastia / Ferimentos e Lesões / Nariz / Prontuários Médicos / Estudos Retrospectivos / Seguimentos / Fenda Labial / Esperança / Cirurgiões Tipo de estudo: Estudo observacional / Estudo prognóstico Limite: Humanos Idioma: Inglês Revista: Archives of Craniofacial Surgery Ano de publicação: 2018 Tipo de documento: Artigo