A comparative study of complete unilateral cleft lip repair by Millard’s rotation advancement procedure and triangular flap repair of Tennison

Rojalin Mishra; Bibhuti Bhusan Nayak; Rasmi Ranjan Mohanty; Pravin. G. Dhone

doi:10.53730/ijhs.v6nS4.10836

Authors

Rojalin Mishra Senior Resident, Department of Plastic Surgery, S.C.B.M.C.H, Cuttack
Bibhuti Bhusan Nayak Professor & HOD, Department of Plastic Surgery, S.C.B.M.C.H, Cuttack
Rasmi Ranjan Mohanty Assistant Professor, Department of Plastic Surgery, MKCG Medical College, Behrampur
Pravin. G. Dhone Professor &Head, Department of Pharmacology, RSDKS GMC, Ambikapur

Keywords:

cleft lip, Millard’s repair, Randall- Tennison’s repair

Abstract

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 1^st 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.

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