Cleft Lip
Conditions
Keywords
cleft lip, chelioplasty, modified millard, orbicularis oris modification
Brief summary
This study aimed to evaluate the effect of orbicularis oris muscle z-plasty modification of modified Millard technique on the esthetic outcome and length of the repaired lip
Detailed description
forty patients with a unilateral cleft lip will be enrolled in this randomized comparative study. The patients will be divided into two groups, the control (group A) who treated with the modified Millard technique and the study group who repaired by orbicularis oris muscle Zplasty modification of modified Millard technique (group B).
Interventions
PROCEDUREorbicularis oris muscle Z- plasty modification of modified millard technique
After orbicularis oris muscle had been released from the overlying skin, the previously marked points using methylene blue for designing the z-plasty were shown to be followed by back-cut incisions including the OOM and inner mucosa in both medial and lateral elements without involving the overlying skin. This procedure resulted in two triangular flaps in both segments
PROCEDUREmodified millard technique
no z-plasty modification
Sponsors
Fayoum University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
3 Months to 6 Months
Healthy volunteers
No
Inclusion criteria
* non-syndromic cleft lip patients. * Primary, unilateral, complete or incomplete cleft lip. * The patient's age is younger than six months. * lip repair performed by one craniofacial surgeon
Exclusion criteria
* syndromic cleft lip. * Secondary lip treatment (previously operated cases) * Bilateral cleft lip * Patients are older than six months. Associated Cardiac anomalies. Any systemic condition
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| lip legth | immediate postoperative | evaluate the lip length of the cleft side changes from preoperative at immediate postoperative |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Philtral ridge length symmetry index assessment | 6months | Philtral ridge symmetry index was calculated as follow:- (philtral ridge length by mm at cleft side)/(philtral ridge length by mm at non-clefted side)×100 |
| Scar width assessment by photograph | 6months | Standard photography was taken; objective measurements were obtained from the photographs using the ruler as a control reference. One standard surgical ruler was placed over the lower lip and a frontally orientated photograph of the patient was taken at 6m follow up to assess scar width using the Image J1.5i0R program. The first point was 1mm above the white roll and the second point was 1mm below the C-flap suture line . Scar width will be measured by two assessors and the mean score of two assessors was calculated |
| scar width by ultrasound | 6months | scar width will be quantified by ultrasound. The transducer placement with its upper border touching the columella-philtral junction, upper lip imaging obtained and the scar width will be measured. |
| scar elascitity | 6months | Scar elasticity will be quantified by ultrasound. The transducer, coupled with several millimeters of ultrasound gel, was smoothly placed in the longitudinal section and perpendicular to the skin without compressing the tissue. Compare scar stiffness in relation to adjacent normal tissue |
Countries
Egypt
Outcome results
None listed