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Unilateral cleft lip repair: a comparison of treatment outcome with two surgical techniques using quantitative (anthropometry) assessment

Authors: ADETAYO Adekunle

Publication Type: Journal article

Journal: J Korean Assoc Oral Maxillofac Surg

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Abstract

Objectives: The unilateral cleft lip (UCL) repair technique has evolved extensively over the past century into its modern form and has been identified
as an important determinant of treatment outcome. The aim of this study was to evaluate and compare treatment outcomes following repair of UCL using
either the Tennison-Randall (triangular) technique or the Millard rotation-advancement technique.
Materials and Methods: This was a prospective randomized controlled study conducted at the Lagos University Teaching Hospital between January
2013 and July 2014. A total of 48 subjects with UCL presenting for primary surgery and who satisfied the inclusion criteria were recruited for the study.
The subjects were randomly allocated into two surgical groups through balloting. Group A underwent cleft repair with the Tennison-Randall technique,
while group B underwent cleft repair with the Millard rotation-advancement technique. Surgical outcome was assessed quantitatively according to anthropometric
measurements, using a method described by Cutting and Dayan (2003).
Results: Our 48 enrolled subjects were evenly divided into the two surgery groups (n=24 for both group A and group B). Twenty-seven subjects were
male (56.3%) and 21 were female (43.8%), making a sex ratio of 1.3:1. The Millard group showed a greater increase in postoperative horizontal length
and vertical lip height and a greater reduction in nasal width and total nasal width. Meanwhile, the Tennison-Randall group showed better reduction of
Cupid’s-bow width and better philtral height.
Conclusion: We did not find any significant differences in the surgical outcomes from the two techniques. The expertise of the surgeon and individual
patient preferences are the main factors to consider when selecting the technique for unilateral cleft repair.

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ADETAYO,A. . (2018). Unilateral cleft lip repair: a comparison of treatment outcome with two surgical techniques using quantitative (anthropometry) assessment, 44 (), 3-3.

ADETAYO,A. . "Unilateral cleft lip repair: a comparison of treatment outcome with two surgical techniques using quantitative (anthropometry) assessment" 44, no (), (2018): 3-3.

ADETAYO,A. and . (2018). Unilateral cleft lip repair: a comparison of treatment outcome with two surgical techniques using quantitative (anthropometry) assessment, 44 (), pp3-3.

ADETAYOA, . Unilateral cleft lip repair: a comparison of treatment outcome with two surgical techniques using quantitative (anthropometry) assessment. 2018, 44 ():3-3.

ADETAYO,Adekunle , . "Unilateral cleft lip repair: a comparison of treatment outcome with two surgical techniques using quantitative (anthropometry) assessment", 44 . (2018) : 3-3.

A.Adekunle , "Unilateral cleft lip repair: a comparison of treatment outcome with two surgical techniques using quantitative (anthropometry) assessment" vol.44, no., pp. 3-3, 2018.

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