Abstract
The ideally repaired cleft lip should provide a symmetrical cupid's bow, philtrum and a minimal scar. The lip length, pout and symmetry of the alar base should be maintained to achieve the best result. The most popular method for cleft lip repair is rotation advancement technique introduced by Millard which improves the relationship of alar base of cleft side, produces harmonious symmetry of the nostril, the surgical scar is masked in the philtral crest and nostril floor. In addition, it uses and preserves the lip anatomy, returns lip tissue into its normal position, minimizes amount of tissue discard and reconstructs orbicularis oris muscle. We have assessed the incidence of cleft lip deformities, discussed the feasibility of repair by Millard, its modifications and evaluated the results of cleft lip repairs at our center. The study included 158 patients of cleft lip and palate, of which 60 cleft lip patients underwent surgical repair. The outcome of our surgical result was good and suggested quantitative changes with progressive diminution of asymmetry of the cleft and non cleft sides.
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