Improved Millard’s Method Of Primary Repair For Incomplete Unilateral Cleft Lip Patients

ObjectTo investigate a new operation design for unilateral incomplete cleftlip patients, modified the Millard’s method, and the improved methodwas applied to clinical, by subjective and objective evaluation toinvestigate its operation effect.MethodsUsing improved Millard’s method to30patients of unilateralincomplete cleft lip, the characteristics of improved Millard’s methodwere the change of point7; the rectangle flap B; keep the tissue removedby Millard’s method. Photos and objective measurement before and afteroperations were taken in patients under general anesthesia. Subjectiveevaluation (VAS score system) and the objective measurement data werecalculated by SPSS17.0statistical software package for paired samples Ttest, whether significant differences, and whether symmetric rate had anychange.ResultsThe subjective evaluation: in addition to the nostrils and philtral column，average symmetry of the indexes were close to8.0, reached avery high satisfaction. The average symmetry of nostrils and philtralcolumn were7.3and7.2.Objective evaluation:(1) Only the distance between nose and corner of the mouth of thehealthy side were no statistical differences （P>0.05）before and afteroperations, the rest indexes were statistical differences (P<0.05).Nasalbottom width, width of nostril of the healthy side and height of nostril ofthe affected side were no statistical differences（P>0.05）,nasal bottomwidth, width of nostril of the affected side and height of nostril of thehealthy side were statistical differences(P<0.01).(2)1)In addition to red lip thickness, the other symmetryindexes before operation were statistical differences (P<0.05).2) T-he distance between nose and corner of the mouth and the distancebetween nose and lip peak after operation were no statistical diffe-rences（P>0.05）. The other symmetry indexes after operation werestatistical differences（P<0.05）.3) Thesymmetrical rate of the dista-nce between lip peak and corner of the mouth, nasal bottom widthand width of nostril incressed and the changes were statisticallysignificant(P<0.01). The symmetrical rate of height of nostril reduc-ed and the change was statistically significant(P<0.01).(3) Deviation degree of the middle of nasal bottom and lip in- cisor decreased, and the homing rate achieved above50%.ConclusionThe improved Millard’s method to repair incomplete unilateral cleftlip could achieve a good cosmetic results. The secondary deformity ofnoes needed operation in the future.In addition, the operation of theforward clinical effect needed further research.