Cleft-palate Repair by Modified Millard’s Technique with Premaxilla Shortening in Bilateral Labioplasty: A 5-Year Clinical Study
[1]
Muhammad Jailani, Department of Plastic Surgery, Faculty of Medicine, Syiah Kuala University, Banda Aceh, Indonesia.
Bilateral cleft lip is one type of cleft lip classification. Because of a central lack of soft tissue and the anterior displacement of the premaxilla, this case then contributes to some challenging issues for surgeon in performing surgical operation. Surgery technique performed in this study was bilateral labioplasty using modified millard technique with premaxilla shortening. This technique was considered easier and could restore the anatomical feature of the lip. Muscle in the cleft lip can be rotated to near normal lip and twisted. In such situation premaxillary shortening is beneficial to reduce the tension of the suture wound and also reduce the scar formed in bilateral labioplasty after surgery process. This research was a 5 years cohort study from 2015 until 2019, with a retrospective approach conducted among labioplasty patients at Malahayati Hospital in Banda Aceh city. The number of sample recruited was 23 participants. The data obtained were analyzed by using frequency distribution table. This study overcame with several results. First, most of the participants were males (60.9%), the highest age group was 2 years and above (69.6%), the most frequent evaluation period was 6-9 months (87.0%), most of patients were diagnosed with complete bilateral labioplasty (65.2%), and lastly, most the outcomes gained after the bilateral labioplasty using modified millard technique with premaxilla shortening was good (73.9%). Based on those findings, it can be concluded that the majority of participants were male, the highest group for age was 2 years and above, the most frequent evaluation period was 6-9 months, the most common diagnosis was complete bilateral labiolasty, and the outcome found after the surgical intervention with modified millard techniques with premaxillary shortening was dominantly good
Gender, Age, Evaluation Period, Complete Bilateral Labioplasty, Modified Millard Techniques with Premaxillary Shortening
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