Analysis of the Millard method for unilateral cleft lip repair.
- Author:
Ru-hong ZHANG
1
;
Chang ZHU
;
Xiong-zheng MU
;
Sheng-zhi FENG
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Child; Cicatrix; Cleft Lip; surgery; Esthetics; Humans; Lip; surgery; Nasal Cartilages; surgery; Nasal Septum; surgery; Postoperative Period; Reconstructive Surgical Procedures; methods; Surgical Flaps
- From: Chinese Journal of Plastic Surgery 2003;19(1):30-32
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo analyze and describe the advantages and disadvantages of the Millard repair in the unilateral cleft lip (UCL).
METHODSIn 30 patients with UCL undergoing the cleft lip repair with the Millard I or II method, the vermilion was repaired by a modified method with a triangle flap, while the alar cartilage reposition was performed.
RESULTSPostoperative follow-up of 6-12 months revealed the good results with invisible scar, good preservation of philtrum dimple and column, full vermilion and lengthened columella, good alar cartilage reposition.
CONCLUSIONThe Millard method is good for UCL repair. The modified technique with a triangle flap on the vermilion edge can overcome Millard's disadvantages. The anatomic reposition of the affected alar cartilage by blunt dissection at the first stage is suitable for the oriental.
