19. Comparison of outcome of Modified Millard’s Incision and Delaire’s Functional Method in Primary Repair of Unilateral Cleft Lip
Asma Tahir1, Rehmat Ullah2, Muhammad Mubasher Muavia2 and Muhammad Kashif1
ABSTRACT
Objective: To compare the outcomes of two different designs of skin incision used for surgical correction of unilateral cleft lip.
Study Design: Randomized Control Trial study
Place and Duration of Study: This study was conducted at the Dental Section of Nishtar Hospital Multan from October 2016 to May 2017.
Materials and Methods: was conducted after ethical approval from institute ethical board. Data was collected than arranged over Microsoft Excel 2007. Variables then formed or for further statistical results data was entered in SPSS version 15.0. Variables were assessed by using. Mean and SD was calculated and presented for quantitative data like age and weight. Frequency (percentages) were calculated and presented for qualitative data such as gender and outcome variables. Post stratification statistical chi square test was used to see effect modification. P value ≤ 0.05 was considered as significant.
Results: Out of 100% (n=66) unilateral cleft lip patients, 50% (n=33) patients each were operated with Modified Millard’s incision and Delaire’s functional method respectively. Various parameters were analyzed—white roll match, cupid bow, lip length and alar dome demonstrated favorable measurements in Millard’s group and the vermilion match, scar appearance, nostril symmetry and alar base was better in Delaire’s methods. All the differences in these parameters were not statistically significant, except lip length (p=0.023).
Conclusion: Overall clinical outcomes like vermilion match, white roll, and cupid bow appearance was similarly effective in both techniques. Lip length outcome was better in modified Millard’s incision technique. Similarly nasal symmetry was better in Delaire’s functional method. So it was found that one technique was essentially as good as the other.
Key Words: Modified Millard’s, Delaire’s Functional Method, Primary Repair, Unilateral Cleft Lip.
Citation of articles: Tahir A, Rehmatullah, Muavia MM, Kashif M. Comparison of outcome of Modified Millard’s Incision and Delaire’s Functional Method in Primary Repair of Unilateral Cleft Lip. Med Forum 2017;28(10):77-80.