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Year : 2016  |  Volume : 7  |  Issue : 3  |  Page : 178-183

Use of combination of Millard and Pfeifer incision technique for treatment of unilateral complete cleft of lip: A report of two cases

1 Department of Oral and Maxillofacial Surgery, School of Dental Sciences, Sharda University, Greater Noida, Uttar Pradesh, India
2 Private Practitioner, Kalol, Gujarat, India

Correspondence Address:
Rajeev Pandey
School of Dental Sciences, Sharda University, Greater Noida, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0976-433X.188806

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Cleft lip and palate is one of the most common congenital deformities of the head and neck region. The prevalence of cleft lip and palate depends on racial, ethnic, geographic origin, and socioeconomic status. It is estimated that isolated cleft lip occurs in 20–30%, cleft lip along with palate occur in 35.50% and isolated palate in 30–45% of cases. It affects the psychological, social, and mental well-being. It is considered as a social stigma and has poor acceptance with a negative perception. These patients require a multidisciplinary approach and aged specific treatment plan. Early repair of cleft lip is advocated for making the child acceptable to the parents and relatives as well as to the society. It also helps in the feeding of the child. There are various techniques for repair of the complete unilateral cleft lip. Almost all techniques continue to leave behind some amount of dissatisfaction. Even today most of the surgeons like to use Millard's technique or its modifications. Here, we present two cases of a newly developed technique utilizing both Millard and Pfeifer incision. For assessment of the success of the technique, we evaluated the vermilion match, lip length, nasal symmetry, white roll match, and postoperative scar after 6 months of primary lip closure. At 6th month follow-up, we found the overall result was average for both the cases. (minor deformities which can be corrected by lip revision procedure). As this technique is based on the principle of rotation and elongation, we found that this technique allowed tension free closure of the cleft lip even when both the patients had a wide cleft of the lip. This technique addresses the overall anatomy of cleft lip including nasal region. The incision marking is such that rhinoseptoplasty and alar cinch suturing can be done without making any new incision.

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