Outcomes of Mishra technique in unilateral cleft lip repair

Primary unilateral cleft lip repair

The unilateral cleft lip is a complex deformity. Surgical correction has evolved from a straight repair through triangular and quadrilateral repairs to the Rotation Advancement Technique of Millard. The latter is the technique followed at our centre for all unilateral cleft lip patients. We operate on these at five to six months of age, do not use pre-surgical orthodontics, and follow a protoco...

The Repair of the Unilateral Cleft Lip.

The Unilateral Cleft Lip Repair and Primary Cleft Rhinoplasty

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Modification of the repair of a unilateral cleft lip.

The ideally repaired cleft lip should provide a symmetrical Cupid's bow, philtrum, and minimal scar. In the appearance of the upper lip, the philtrum plays a key role. The most popular method for unilateral cleft lip repair is the rotation advancement technique introduced by Millard. This technique requires the rotation of the non-cleft-side flap in a unilateral cleft lip. As the vertical discr...

A Quadrangular Flap Technique for Vermilion Repair in Unilateral Cleft Lip

In unilateral cleft lip repair, the vermilion triangular flap technique reported by Noordhoff1 and its modification are widely accepted for the augmentation of the vermilion height on the medial side of the cleft; however, these techniques do not focus on the deformity of the labial tubercle. In this article, we herein report a modified technique for vermilion repair that is focused on the labi...