Open AccessOUTCOME OF THE MILLARD ROTATION- ADVANCEMENT PROCEDURE FOR THE UNILATERAL CLEFT LIP IN TWO HOSPITALS OF BANNU
Author(s) -
Hayat Ur Rehman,
Maria Khattak,
Mohammad Imran,
Mahid Iqbal,
MH Khan
Publication year - 1969
Publication title -
journal of saidu medical college
Language(s) - English
Resource type - Journals
ISSN - 1819-4583
DOI - 10.52206/jsmc.2013.3.1.272-275
Subject(s) - philtrum , medicine , vermilion , columella , orthodontics , dentistry , surgery , upper lip , nose , anatomy , art , visual arts
Objective: To evaluate the outcome of Millard's method in patients with unilateral cleft lip in two hospitalsof district Bannu.METHODS: This study was performed from Nov 2009 to Dec 2011 . Eighteen patients with Unilateralcleft lips were selected. The age range was 4-15 months. All patients underwent Millard procedure. Thesurgery was performed by different surgeons in the ENT and Pediatric Surgery department in Khalifa GulNawaz 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%) werefound with incomplete cleft lip. Wound infection was observed in 2 (11.1%) patients inspite of antibioticcover. Three (16.6%) patients had post-operative vermilion notch. Postoperative follow-up of 6 monthsrevealed the good results with an acceptable scar, good preservation of philtrum dimple and column, fullvermilion and lengthened columella and good alar cartilage reposition.Conclusions:Millard's technique is useful for repairing unilateral cleft lip in rebuilding nasal floor, theCupid' bow and in correction of the columella deviation, except for a relatively insufficient lip height andcolumella length at the operated side. Therefore it is concluded that the Millard method is an ideal procedurefor unilateral cleft lip repair.Key words: Unilateral cleft lip, Millard's procedure, vermilion notch