A comparative study of complete unilateral cleft lip repair by Millard’s rotation advancement procedure and triangular flap repair of Tennison
Keywords:
cleft lip, Millard’s repair, Randall- Tennison’s repairAbstract
This study was done to evaluate and compare the surgical outcomes of primary repair of Complete Unilateral Cleft lip by Millard’s rotation advancement technique and Randall-Tennison’s Triangular flap technique in terms of Quantitative and qualitative assessments like cupid bow pouting, vermilion symmetry, nasal floor alar base symmetry and scar appearance was analysed by 5 different Plastic surgeons. 40 patients of complete Unilateral Cleft Lip operated using either Millard’s technique or Randall-Tennison’s Triangular flap technique (20 each) in the Department of Burns, Plastic and Reconstructive Surgery, SCB Medical College and Hospital, Cuttack for 2 years. They were compared with 20 normal patients (control). Overall mean age was 5.07 ± 1.41 months and 1st birth order comprised of 45.0%. Family history was found among 6.7% cases. 78.3% patients were in age group 3 – 6 month, 21.7% in 6 -12 months age group. Postoperatively there was significant difference in total nasal width between Tennison and control , Millard and Tennison but insignificant between Millard and Control.There was no statistical difference between Modified Millard’s rotation advancement technique and Randall-Tennison’s Triangular flap technique for the primary repair of the unilateral cleft lip under the hands of a qualified and skilled Plastic Surgeon.
Downloads
References
Abdurrazaq TO, Micheal AO, Lanre AW, Olugbenga OM, Akin LL. Surgical outcome and complications following cleft lip and palate repair in a teaching hospital in Nigeria. Afr J Paediatr Surg 2013; 10: 345-57.
Al-Omari I, Millett DT, Ayoub AF. Methods of assessment of cleft-related facial deformity: a review. Cleft Palate Craniofac J 2005; 42: 145-56.
Amaratunga NA. Combining Millard's and Cronin's methods of unilateral cleft lip repair — a comparative study. Asian J Oral Maxillofac Surg 2004; 16: 5-9.
Bilwatsch S, Kramer M, Haeusler G, Schuster M, Wurm J, Vairaktaris E, et al. Nasolabial symmetry following Tennison-Randall lip repair: a three-dimensional approach in 10-year-old patients with unilateral clefts of lip, alveolus and palate. J Craniomaxillofac Surg 2006; 34: 253-62
Blanco-Davila F. Incidence of cleft lip and palate in the northeast of Mexico: A 10-year study. J Craniofac Surg 2003; 14: 533-7.
Campbell A, Costello BJ, Ruiz RL. Cleft lip and palate surgery: an update of clinical outcomes for primary repair. Oral Maxillofac Surg Clin North Am 2010; 22: 43-58.
Chou PY, Luo CC, Chen PK, Chen YR, Samuel Noordhoff M, Lo LJ. Preoperative lip measurement in patients with complete unilateral cleft lip/palate and its comparison with norms. J Plast Reconstr Aesthet Surg 2013; 66: 513-7.
Chou PY, Luo CC, Chen PK, Chen YR, Samuel Noordhoff M, Lo LJ. Preoperative lip measurement in patients with complete unilateral cleft lip/palate and its comparison with norms. J Plast Reconstr Aesthet Surg 2013; 66: 513-7.
Chowdri NA, Darzi MA, Ashraf MM. A comparative study of surgical results with rotation-advancement and triangular flap techniques in unilateral cleft lip. Br J Plast Surg 1990; 43: 551-6.
Chowdri NA, Darzi MA, Ashraf MM.A comparativestudy of surgical results with rotation advancement and triangular flap techniques in unilateral cleft lip.Br J Plast Surg. 1990 Sep; 43(5): 551-6.
Christofides E. Evaluation of unilateral cleft lip repairs and the evolution of a new technique based on experience and research. J Plast Reconstr Aesthet Surg 2009; 62: 50-5.
Cutting, Court B, Bardach, Janusz, Pang, Richard. A Comparative Study of the Skin Envelope of the Unilateral Cleft Lip Nose Subsequent to Rotation- Advancement and Triangular Flap Lip Repairs. Plastic & Reconstructive Surgery. 1989 September; 84(3): 409-417
Farkas LG, Hajnis K, Posnick JC. Anthropometric and anthroposcopic findings of the nasal and facial region in cleft patients before and after primary lip and palate repair. Cleft Palate Craniofac J 1993; 30: 1-12.
Gregg T,Boyd D, Richardson A. The incidence of cleft lip and palate in Northern Ireland from 1980-1990. Br J Orthod 1994; 21: 387-92.
Hagberg C, Larson O, Milerad J. Incidence of cleft lip and palate and risks of additional malformations. Cleft Palate Craniofac J 1998; 35: 40-5.
Hakim SG, Aschoff HH, Jacobsen HC, Sieg P. Unilateral cleft lip/ nose repair using an equal bows/straight line advancement technique: a preliminary report and postoperative symmetry-based anthropometry. J Craniomaxillofac Surg 2014; 42: e39-45.
Hakim SG, Aschoff HH, Jacobsen HC, Sieg P. Unilateral cleft lip/ nose repair using an equal bows/straight line advancement technique: a preliminary report and postoperative symmetry-based anthropometry. J Craniomaxillofac Surg 2014; 42: e39-45
Hurwitz DJ, Ashby ER, Llull R, Pasqual J, Tabor C, Garrison L, et al. Computer-assisted anthropometry for outcome assessment of cleft lip. Plast Reconstr Surg 1999;103: 1608-23.
Kernahan DA, Stark RB. A new classification for cleft lip and cleft palate. Plast Reconstr Surg Transplant Bull 1958; 22: 435-41.
Kernahan DA. The striped Y--a symbolic classification for cleft lip and palate. Plast Reconstr Surg 1971; 47: 469-70.
Kumar V, Abbas AK, Fausto N. Robbins and Cotran pathologic basis of disease. 7th ed. Philadelphia: Elsevier Saunders; 2005: 113- 7
Lazarus DD, Hudson DA, van Zyl JE, Fleming AN, Fernandes D. : Repair of unilateral cleft lip: a comparison of five techniques. Ann Plast Surg. 1998 Dec; 41(6): 587-94.
Li A. Sun Y. Wang G. A comparison of the changes of the nasal deformities after cleft lip repair between rotation advancement and triangular flap repair. Chung-Hua Kou Chiang i HsuehTsaChih Chinese Journal of Stomatology. 1996 Jan; 31(1):22-4.
Millard DR. Cleft craft: the evolution of its surgery: the unilateral deformity Vol. 1. Boston: Little Brown; 1976: 15-40.
Reddy SG, Reddy RR, Bronkhorst EM, Prasad R, Ettema Am, Sailer HF, Berge SJ. Incidence of Cleft Lip and palate in the state of AndhraPradesh, South India. Indian J Plast Surg 2010; 43: 184-9
Sameh E, Amr S, Ashraf E. Evaluation of primary unilateral cleft lip repair: a proposed scoring system. Egypt J Surg 2009; 28: 4-7.
Sharma VP, Bella H, Cadier MM, Pigott RW, Goodacre TE, Richard BM. Outcomes in facial aesthetics in cleft lip and palate surgery: a systematic review. J Plast Reconstr Aesthet Surg 2012; 65: 1233-45.
Sofija, G., & Ivan, T. (2018). Quality of life in children with disabilities placed in foster families. International Journal of Health & Medical Sciences, 1(1), 18-27. https://doi.org/10.31295/ijhms.v1n1.35
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). Get vaccinated when it is your turn and follow the local guidelines. International Journal of Health Sciences, 5(3), x-xv. https://doi.org/10.53730/ijhs.v5n3.2938
Tobiasen JM, Hiebert JM. Facial impairment scales for clefts. Plast Reconstr Surg 1994; 93: 31-41.
Xing H, Bing S, Kamdar M, Yang L, Qian Z, Sheng L, et al. Changes in lip 1 year after modified Millard repair. Int J Oral Maxillofac Surg 2008; 37: 117-22.
Yamada T. Mori Y. Minami K. Mishima K. Sugahara T. Three- dimensional facial morphology, following primary cleft lip repair using the triangular flap with or without rotation advancement. Journal of Cranio-Maxillo- Facial Surgery. 2002 Dec; 30(6): 337-42.
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
![Creative Commons License](http://i.creativecommons.org/l/by-nc-nd/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.