Arch Plast Surg.  2019 Mar;46(2):114-121. 10.5999/aps.2018.00332.

Surgical outcomes of 14 consecutive bilateral cleft lip patients treated with a modified version of the Millard and Manchester methods

• Al-Zajrawee MZ
• Aljodah MA
• Hassan QA

• KMID: 2446811
• DOI: http://doi.org/10.5999/aps.2018.00332

Abstract

BACKGROUND
Bilateral cleft lip deformity is much more difficult to correct than unilateral cleft lip deformity. The complexity of the deformity and the sensitive relationships between the arrangement of the muscles and the characteristics of the external lip necessitate a comprehensive preoperative plan for management. The purpose of this study was to evaluate the repair of bilateral cleft lip using the Byrd modification of the traditional Millard and Manchester methods. A key component of this repair technique is focused on reconstruction of the central tubercle.
METHODS
Fourteen patients with mean age of 5.7 months presented with bilateral cleft lip deformity and were operated on using a modification of the Millard and Manchester techniques. Patients with a very wide cleft lip and protruded or rotated premaxilla were excluded from this study. We analyzed 30 normal children for a comparison with our patients in terms of anthropometric measurements.
RESULTS
By the end of the follow-up period (between 9 and 19 months), all our patients had obtained a full central segment with adequate white roll in the central segment and a deep gingivolabial sulcus, and we obtained nearly normal anthropometric measurements in comparison with age-matched normal children.
CONCLUSIONS
We recommend this modified technique for the treatment of bilateral cleft lip deformity.

Keyword

Cleft lip; Patient outcome assessments; Byrd; Repair technique

MeSH Terms

Child
Cleft Lip*
Congenital Abnormalities
Follow-Up Studies
Humans
Lip
Methods*
Muscles
Patient Outcome Assessment