Unilateral Cleft Lip Repair : Modified Millard and Mishra Technique

Our study findings show that vertical lip length and philtral lip height significantly longer in Millard group than Mishra group in immediate postoperative assessment and nasal width was significantly wider in Mishra group than Millard in 3-month postoperative assessment, This may be attributed to that Mishra group deformity was more severe. The lip shape, the vermilion shape was better in Millard technique than Mishra technique, however, this was statistically insignificant The scar shape was less evident in Mishra technique than Millard technique. But this was also statistically insignificant. However, no major difference in the overall results between the Mishra and Millard rotationadvancement repairs. Thus, either technique could be used for unilateral clefts, as the goal of cleft lip repair is making a symmetrical lip with minimal scar restoring the normal appearance of the face and functional anatomy Anthropometric Measurement of surgical outcome evaluates the surgical technique used and helps to compare between cleft and non-cleft side showing the degree of deformity and we used Subjective assessment to analyse facial aesthetics and appearance impairment as the harmony of a person's face is as Important as measurements, so they should be used together in our opinion.

Inclusion Criteria:Infants with unilateral isolated cleft lip aged from 2-6 monthsInfants with incomplete and complete unilateral cleft lip(reach floor of the nose)Exclusion Criteria:Infants less than 2 months or more than 6 monthsBilateral cleft lip patientsRecurrent repair cleft lip casesFacial cleft cases 5-Syndromic patients cases