This is a 2-month old baby with a very wide 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. It must be ensured that optimum tension be there while suturing, especially in wide cleft cases. Not all cases are same. Each case is challenging and different. 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 as seen in regular alar base incision. The nasal floor is easily elevated and the vermilion stitch along the orbicularis marginate, gives a perfect length, also prevents the notching of the vermilion border. The subcutaneous suturing aids in camoflouging the incision while
Posted on: Sun, 25 Jan 2015 13:22:23 +0000
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