Categories

Volume 7 Issue 7 (July, 2019)

Original Articles

Clinical Assessment of the Surgical Outcome of Unilateral Cleft Lip Surgery
Sidharth Goudar, Sidhartha S P Behera

Background: Cleft lip repair today is the quintessence of the maxillofacial surgeon’s art. It is the pinnacle of combining function, symmetry and appearance in a most conspicuous area starting with a deficiency and distortion of available tissue.There are a number of different methods to repair a cleft lip. While none of the repair is ideal, each has its own advantages and disadvantages and each results in an excellent repair in experienced hands.The ideal repair results in symmetrically shaped nostrils, nasal sill and alar bases, a well defined philtral dimple and column and a natural appearing cupids bow and minimal visible scar. Objective: To retrospectively evaluate the post-surgical asymmetries of the upper lip and nose in complete unilateral cleft lip and palate patients. Methodology: A study of  85  patients with unilateral complete cleft lip with non syndromic patients who had undergone cheiloplasty by the modified Millard’s technique at the age ranging from 3 months to 11 months in the last 1 years were included in the study. The study was conducted at Kim’s Dental College, Amalapuram in the year 2017. Results: The results showed that statistically significant increase in the width of the nostril. No statistical difference was noted in the philtrum height, vermilion height and length of the horizontal hemi-labium. Scar was found to be mild and nostril axis horizontal in all the patients. Conclusion: The present study highlights that the structures most likely to be deformed should be put into as perfect a position as possible at the time of lip repair: these include the level of the ala, the short columella, the nasal deviation, the alar width
Key words: Cleft lip, cleft palate, surgical outcome, symmetry.

Received: 13 March, 2019                                         Revised:  22 April 2019                             Accepted: 25 April 2019

Corresponding Author: Dr. Sidhartha S P Behera, Associate Professor, Kim’s Dental College, Amalapuram, Andhra Pradesh, India

This article may be cited as: Goudar S, Behera SSP. Clinical Assessment of the Surgical Outcome of Unilateral Cleft Lip Surgery. J Adv Med Dent Scie Res 2019;7(7): 109-112.

 
Html View | Download PDF | Current Issue