OUTCOME OF THE MILLARD ROTATION- ADVANCEMENT PROCEDURE FOR THE UNILATERAL CLEFT LIP IN TWO HOSPITALS OF BANNU
DOI:
https://doi.org/10.52206/jsmc.2013.3.1.272-275Abstract
Objective: To evaluate the outcome of Millard's method in patients with unilateral cleft lip in two hospitals
of district Bannu.
METHODS: This study was performed from Nov 2009 to Dec 2011 . Eighteen patients with Unilateral
cleft lips were selected. The age range was 4-15 months. All patients underwent Millard procedure. The
surgery was performed by different surgeons in the ENT and Pediatric Surgery department in Khalifa Gul
Nawaz and DHQ Hospitals Bannu.
Results: The total number of patients successfully operated in our study was 18 with 12 (66.6%) males and 6
(33.3) females with a ratio of 2: 1. Patients with complete cleft lip were 15(62.5%) while three (12.5%) were
found with incomplete cleft lip. Wound infection was observed in 2 (11.1%) patients inspite of antibiotic
cover. Three (16.6%) patients had post-operative vermilion notch. Postoperative follow-up of 6 months
revealed the good results with an acceptable scar, good preservation of philtrum dimple and column, full
vermilion and lengthened columella and good alar cartilage reposition.
Conclusions:Millard's technique is useful for repairing unilateral cleft lip in rebuilding nasal floor, the
Cupid' bow and in correction of the columella deviation, except for a relatively insufficient lip height and
columella length at the operated side. Therefore it is concluded that the Millard method is an ideal procedure
for unilateral cleft lip repair.
Key words: Unilateral cleft lip, Millard's procedure, vermilion notch
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