The outcomes of modified millard technique versus tennison-randall technique in unilateral cleft lip repair: A comparative trial

• الحاوية / القاعدة: African Journal of Paediatric Surgery
• المؤلفون الرئيسيون: Khaled Salah Abdullateef, Mohamed A M. Nagaty, Mohamed Fathy, Khaled Abdelmoneim Elmenawi, Abeer Aboalazayem, Mohamed H Abouelfadl
• التنسيق: مقال
• اللغة: الإنجليزية
• منشور في: Wolters Kluwer Medknow Publications 2024-01-01
• الموضوعات: millard technique; tennison-randall technique; unilateral cleft lip
• الوصول للمادة أونلاين: http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2024;volume=21;issue=1;spage=12;epage=17;aulast=Abdullateef

Background: This study aimed to use anthropometric measurements taken pre- and post-operation to evaluate quantitative assessment of modified Millard technique compared with Tennison-Randall technique in unilateral cleft lip (UCL) repair. Materials and Methods: Prospective randomised controlled study recruited infants scheduled for UCL repair. Infants aged 2–6 months, either complete or incomplete deformity. A total of 68 patients were randomised in 1:1 ratio to undergo either modified Millard technique (Group I) or Tennison-Randall technique (Group II). Results: Group I had significantly longer operative time than Group II (85.7 ± 7.4 vs. 68.7 ± 8.8 min, respectively; P < 0.001). Group I has less post-operative wound infection, wound dehiscence and wound scarring than Group II, but Group II has less post-operative lip notch. In Group I, greater increases in post-operative horizontal lip length and vertical lip height were observed, compared to Group II, without statistically significant difference. Group I showed a greater reduction in nasal width and total nasal width than Group II, without statistically significance. Group II had a greater increase in philtral height. However, only post-operative Cupid's-bow width was significantly different between two groups (P = 0.041). Conclusion: Overall results demonstrate no significant differences between modified Millard technique and Tennison-Randall technique.