Evaluation of Short-Term Results of Modified Millard Technique Following Repair of Unilateral Cleft Lip and Rhinoplasty by Mortier Score: Single Center Experience

Abstract

Introduction: People are often born with problems with their head and neck, and cleft lips are one of them. Because it affects how people look, hear, speak, and think, this flaw can hurt their health and social standing. So, a quick fix is needed to stop these bad things from happening. Using a score method, the study's goal was to find out how well the modified Millard technique fixed the appearance of people with unilateral cleft lips (UCL).

Methods: This prospective observational study on 40 pediatric patients with UCL deformity undergo UCL repair.

Results: The postoperative horizontal and vertical lip length were significantly increased compared to preoperative length (P<0.001, <0.001). The postoperative nasal width was significantly decreased compared to preoperative width (P<0.001). The postsurgical scoring was significantly lower compared to the initial scoring system (P<0.001). Regarding the parents’ satisfaction regarding scar quality, 19 (47.5%) parents were very happy, and 21 (52.5%) parents were happy.

Conclusion: Modified Millard technique for UCL had resulted in significant improvement in the anthropometric parameters (Horizontal and vertical lip length and nasal width) and better postsurgical scoring, the overall aesthetic appearance of unilateral cleft lip patients showed that modified Millard repair had excellent outcome regarding the nostril symmetrical, central centrality of columella, normal ala on the cleft side and symmetrical Cupid’s Bow. This technique exhibited higher parents’ statistician and minimal postoperative complications.