UNIVERSITAS AIRLANGGA



Detail Article

Dental Journal (Majalah Kedokteran Gigi)

ISSN 1978-3728

Vol. 43 / No. 4 / Published : 2010-12

Order : 3, and page :172 - 175

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Original Article :

Minor modification of millard surgical technique for correction of complete unilateral cleft lip

Author :

  1. Coen Pramono Danudiningrat*1
  1. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Airlangga University/Dr. Soetomo Public and Teaching Hospital, Surabaya - Indonesia

Abstract :

Background: A surgical technique for correction of complete unilateral cleft lip was done using a minor modification of Millard surgical technique. The purpose of this modification is to achieve a good anatomical form of columelia, nostril cill and the position of nasal tip. Purpose: This article presents the correction of the complete cleft lip which was done initially by correction of the slanted columella followed by correction of the nostril sill which was done before the sequence of closing the lip crevice. Case: Correction of a case with complete unilateral cleft lip on a fifteen year old girl using modification of Millard surgical technique is presented. Case management: Rotation incision in the philtrum region was made as introduced by Millard to make a triangular flap. The triangular flap was contralaterally rotated and pulled into the direction of cleft to achieve a normal position of the columella and nasal tip. The lateral side of the ala was incised in circular form down to the alar base and straight through to the direction of cleft formed an alar flap which consisted of ala, clefted and slanted nasal base tissue. The tip of the triangular flap was trimmed and approximated to the alar flap to form a new the nostril sill. Adjustment of the size of the nostrill sill size was achieved during the approximation of those two flaps. The nasal base was built during approximation of the lateral and the medial segment flap or philtrum region and the base of new nostril sill. Surgical correction of the complete unilateral cleft lip including correction of the nostrill sill using approximation of triangular flap and the alar flap was achieved. Conclusion: This surgical technique with minor modification of Millard  surgical technique can be used for correction of the complete unilateral cleft lip with extremely slanted columella and nasal tip to form the nostril sill.

Keyword :

Complete unilateral cleft lip, Millard’s surgical technique, nostril sill,


References :

Millard DR Jr,(1960) Complete unilateral clefts of the lip - : Plast Recons Sur





Archive Article

Cover Media Content

Volume : 43 / No. : 4 / Pub. : 2010-12
  1. Clinical Consideration Of Thrombocytopenia In Children
  2. The Increasing Of Odontoblast-like Cell Number On Direct Pulp Capping Of Rattus Norvegicus Using Chitosan
  3. Minor Modification Of Millard Surgical Technique For Correction Of Complete Unilateral Cleft Lip
  4. Biocompatibility And Osteoconductivity Of Injectable Bone Xenograft, Hydroxyapatite And Hydroxyapatite-chitosan On Osteoblast Culture
  5. Alveolar Ridge Rehabilitation To Increase Full Denture Retention And Stability
  6. Pulp Nerve Fibers Distribution Of Human Carious Teeth: An Immunohistochemical Study
  7. The Management Of Dental Fracture On Tooth 61 In A Child With Attention Deficit Hyperactivity Disorders
  8. Multidisciplinary Management Of A Mandibular Buccal Plate Perforation
  9. Candida Albicans Adherence On Acrylic Resin Plates Immersed In Black Tea Steeping
  10. A Combination Of Endodontic Therapy And Root Resection In Furcation Involvement Case
  11. Interleukin-1β Expression Among Periodontitis Patients In Surabaya

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