Unilateral Cleft Lip Repair

Unilateral Cleft Lip Repair

Write a short note on the management of a case of unilateral cleft lip and palate repair.

Answer.

Management of a Case of unilateral Cleft lip repair

“Dealing With Discomfort After Unilateral Cleft Lip Repair”

• For unilateral cleft lip repair most commonly used methods are Millard’s rotation advancement flp and Tennison Randall’s triangular flp method.
• Millar’s cleft lip repair is done by rotating local nasolabial flps.
• The majority of surgeons follow Millard criteria or “Rule of 10”,i.e. at the time of repair hemoglobin should be more than 10 g%, age is 10 weeks, weight is more than 10 pounds and total leukocyte count is less than 10,000/cu mm.

“Causes Of Unilateral Cleft Lip”

Millard Rotation Advancement Flap

In this, a tilted cupid bow is rotated downwards following a curved incision extending to the columella.

This allows rotation of the misplaced cupid’s bow and philtrum dimple in a normal position.

“Symptoms Of Unilateral Cleft Lip”

The high rotation gap created is filled with a triangular flap which consists of skin muscle and mucosa from the upper part of the lateral side of the cleft.

The resultant scar is hidden inside the nose or follows the natural line of the philtrum.

Tennisonrandall triangular Flap repair

“Recovery Process After Unilateral Cleft Lip Surgery”

In this, a cut is given on the lower one-third of the lip to correct the upward tilt of cupid’s bow by placing a Z-shape wire.

The gap is filled with a triangle of skin, muscle, and mucosal flips from the lower end of the lateral lip element.

In this resultant scar is a Zigzag scar..