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[Analysis of the Millard method for unilateral cleft lip repair].

AbstractOBJECTIVE:
To analyze and describe the advantages and disadvantages of the Millard repair in the unilateral cleft lip (UCL).
METHODS:
In 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.
RESULTS:
Postoperative 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.
CONCLUSION:
The 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.
AuthorsRu-hong Zhang, Chang Zhu, Xiong-zheng Mu, Sheng-zhi Feng
JournalZhonghua zheng xing wai ke za zhi = Zhonghua zhengxing waike zazhi = Chinese journal of plastic surgery (Zhonghua Zheng Xing Wai Ke Za Zhi) Vol. 19 Issue 1 Pg. 30-2 (Jan 2003) ISSN: 1009-4598 [Print] China
PMID12778791 (Publication Type: English Abstract, Journal Article)
Topics
  • Adolescent
  • Child
  • Cicatrix
  • Cleft Lip (surgery)
  • Esthetics
  • Humans
  • Lip (surgery)
  • Nasal Cartilages (surgery)
  • Nasal Septum (surgery)
  • Postoperative Period
  • Plastic Surgery Procedures (methods)
  • Surgical Flaps

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