This is a 2-month old baby for unilateral cleft lip and palate. The goal of this primary surgery is to recreate the lip seal. For this a modified Millard’s technique is used. From the lateral aspect of the cleft, a C flap incision is placed in a modified way towards the nasal sill. A part of the dissected tissue could be later used to recreate the nasal floor or be a part of the M flap to recreate the sulcus. The approach of the incision gives many advantages than the conventional Millards and other Modified Millards approach - especially no multiple incisions or scars. The nasal floor is easily elevated and the vermilion stitch gives a perfect length, making the planning of the length of the cupid bow easier. Layer to layer closure is done. This technique also prevents necessity for an additional incision and also as it lies parallel to philtral column, is easily hidden.
Posted on: Sun, 25 Jan 2015 13:13:18 +0000
Trending Topics
Recently Viewed Topics
© 2015