Efficacy of Modified Millard’s Technique for Repair in Children Presenting with Cleft Lip in Jamshoro, Sindh

Abstract

Objective: To assess the efficacy of Modified Millard’s technique for repair in children presenting with cleft lip

Study Design: Descriptive case series

Place and Duration of Study: This study was conducted at the Department of Plastic and Reconstructive Surgery, Liaquat University Hospital, Jamshoro from August 2016 to February 2017.

Materials and Methods: Patients of age from 3 months to 10 years of both gender and all 3 types of cleft lip (Incomplete, Complete and Microform) on clinical examination were included. Syndromic patients (with other clefts) on clinical examination, associated congenital anomalies including neural tube defect (on clinical examination) and anemic children (Hb<10mg/dl) were excluded. All children underwent cleft lip repair under general anaesthesia by a single surgical team. Millard classical repair consists of a straight line closure at vermilion. All the information was recorded in a pre-designed written questionnaire.

Results: Total of 80 children with cleft lips was included. The mean age of the children was 3.28±3.24 Years. There were 54(67.5%) male and 26(32.5%) female. Efficacy of Modified Millard’s technique for repair in children presenting with cleft lip was 76.25% (61/80) children.

Conclusion: It is concluded that Modified Millard’s Technique for cleft lips is an effective method to achieve better cosmetic outcome and a reliable & versatile technique associated with excellent surgical outcome.