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2013 ; 10
(4
): 307-10
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English Wikipedia
An evaluation of surgical outcome of bilateral cleft lip surgery using a modified
Millard s (Fork Flap) technique
#MMPMID24469478
Adeyemo WL
; James O
; Adeyemi MO
; Ogunlewe MO
; Ladeinde AL
; Butali A
; Taiwo OA
; Emeka CI
; Ayodele AO
; Ugwumba CU
Afr J Paediatr Surg
2013[Oct]; 10
(4
): 307-10
PMID24469478
show ga
BACKGROUND: The central third of the face is distorted by the bilateral cleft of
the lip and palate and restoring the normal facial form is one of the primary
goals for the reconstructive surgeons. The history of bilateral cleft lip repair
has evolved from discarding the premaxilla and prolabium and approximating the
lateral lip elements to a definitive lip and primary cleft nasal repair utilising
the underlying musculature. The aim of this study was to review surgical outcome
of bilateral cleft lip surgery (BCLS) done at the Lagos University Teaching
Hospital. MATERIALS AND METHODS: A review of all cases of BCLS done between
January 2007 and December 2012 at the Lagos University Teaching Hospital was
done. Data analysis included age and sex of patients, type of cleft deformity and
type of surgery (primary or secondary) and whether the cleft deformity was
syndromic and non-syndromic. Techniques of repair, surgical outcome and
complications were also recorded. RESULTS: A total of 39 cases of BCLS involving
21 males and 18 females were done during the period. This constituted 10%
(39/390) of all cases of cleft surgery done during the period. There were 5
syndromic and 34 non-syndromic cases. Age of patients at time of surgery ranged
between 3 months and 32 years. There were 24 bilateral cleft lip and palate
deformities and 15 bilateral cleft lip deformities. Thirty-one of the cases were
primary surgery, while 8 were secondary (revision) surgery. The most common
surgical technique employed was modified Fork flap (Millard) technique, which was
employed in 37 (95%) cases. CONCLUSION: Bilateral cleft lip deformity is a common
cleft deformity seen in clinical practice, surgical repair of which can be a
challenge to an experienced surgeon. A modified Fork flap technique for repair of
bilateral cleft lip is a reliable and versatile technique associated with
excellent surgical outcome.