Abstract
Objective: To contrast results of two surgical methods for correction of Unilateral Cleft lip. Methodology: Prospective study was conducted from October 2018 to October 2019 after ethical approval from institute ethical board. Data was collected than arranged over Microsoft Excel 2007.Variables then formed or for further statistical results data was entered in SPSS version 15.0. Variables were assessed by using. . Standard Deviation and Mean was calculated and presented for quantitative data like age and weight. Frequency (percentages) were calculated and presented for qualitative data such as gender and outome variables. Post stratification statistical chi square test was used to see effect modification. P value ≤ 0.05 was considerable. Results: Out of 100% (n=66) unilateral cleft lip patients, 50% (n=33) patients each were operated with Modified Millard’s incision and Delaire’s functional method respectively. Various parameters were analyzed—white roll match, cupid bow, lip length and alar dome demonstrated favorable measurements in Millard’s group and the vermilion match, scar appearance, nostril symmetry and alar base was better in Delaire’s methods. All the differences in these parameters were not statistically significant, except lip length (p=0.023). Conclusion: Overall clinical outcomes like vermilion match, white roll, and cupid bow appearance was similarly effective in both techniques. Outcome related to lip length was considerable in incision by Millard’s technique. Similarly nasal symmetry was better in Delaire’s functional method. This leads to significance of one method over other. Keywords: Primary Repair, Modified Millard’s, Delaire’s Functional Method Unilateral Cleft Lip. DOI : 10.7176/JMPB/54-04 Publication date : April 30 th 2019
Highlights
In our society people has more focus over facial beauty
Cleft lip and Cleft Palate both are considered as facial anomalies which occur by birth or it involves deformities of facial bones[1]. these birth defects arising as health problems in public
In Africans Americans its incidence is 1 out of 2000 live births [3,4]. This shows that incidence of these birth defects is common in Asians and least common in Africans and Americans. [3,4]
Summary
Any damage or change in facial beauty leads to stress for individuals, their families and on their relationships. Congenital Problems like Cleft lip and palate do not affect mortality or morbidity in a greater rate but a few cases of Cleft lip and Cleft palate are seen.[2]. Incidence of these anomalies varies in different races. In Africans Americans its incidence is 1 out of 2000 live births [3,4] This shows that incidence of these birth defects is common in Asians and least common in Africans and Americans. Gender vise cleft lip or palate mainly occur in the males while isolated cleft palate rate is higher in females
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