EVALUATION OF PRIMARY UNILATERAL CLEFT LIP REPAIR. A PROPOSED SCORING SYSTEM

Document Type : Original Article

Authors

The Department of Surgery, Faculty of Medicine, Cairo University, Egypt

Abstract

Aim: The cleft lip and/or palate considers the second most common congenital anomaly (after club foot) accounting 
about 13 percent of all Congenital anomalies and the overall incidence is 1 in 1,000 live births. 
The ideal operation for the repair of a unilateral cleft lip would result in a symmetrical upper lip with the philtral 
column length on either side equal. The scar should mirror to the opposite side. There should also be no peaking at the 
Cupid’s bow at the cleft side or notching of the vermilion. 
Methods: Different methods have been described for repair of the cleft lip. The most popular method in primary 
unilateral cleft lip repair is Millard technique. 
Results: Modified Millard technique gave us good results in comparison with other techniques done by us despite these 
techniques achieved good results when they were done by their own. 
Evaluation by review of the patient charts, photographic analysis and patient-satisfaction questionnaire has revealed 
acceptable long term results. 
Conclusion: Many scoring systems have been proposed for evaluation of success of cleft lip repair. However, they are all 
lacking some aspects for evaluation. In our study, a system for evaluation was tried aiming to fulfill all parameters 
either subjective or objective.

Keywords

The Egyptian Journal of Surgery
Volume 28, Issue 4
October 2009
Pages 163-170

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