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Primari cleft lip repair using millard technique experience and result

Stoicescu Simona, Enescu D.M.
Abstract: Introduction. Numerous surgical techniques have been described for cleft lip repair, among them the rotation-advancement technique described by Millard remains the most popular worldwide. The aim of this study is to present our cleft team experience in primary cleft lip treatment using Millard technique. Material and methods. A retrospective analysis was performed on medical records of 66 patients who underwent lip repair in the last five years (from 2008 to 2012). All consecutive cleft lip (and palate) patients were incorporated. Information on patients gender, cleft type, age at repair, type of cleft repair and postoperative local evolution were collected and analyzed. Results. A totally of sixty-six patients, forty-seven boys and nineteen girls underwent cleft lip repair under general anesthesia; 80% of them were unilateral, while 20% were bilateral cases. Age at surgery was between 3 and 10 months old in the majority of the cases (85%). Millard technique was used in 96% of the unilateral cleft lip and in all bilateral cleft lip. In 60% of the unilateral cases a modification of the original technique was performed in order to gain length and symmetry of the upper lip. Conclusions. Our study has shown the use of Millard technique for primary cleft lip repair in the first year of life. The postoperative results were favorable; with practically no postoperative complications except for 2 wide bilateral cases where small dehiscence on the red lip occurred.

Keywords: cleft lip surgery, Millard technique, age at surgery, postoperative wound evaluation


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