Unilateral Cleft Lip Repair: A Comparison of Treatment Outcome With Two Operative Methods

Background: Several researches that matched cleft lip operative managements were achieved and they comprise assessment of dentofacial growing and progress, facial look, speech, nasal breath, quality of life (QoL), scars, and case satisfactions. While, these studies as well show that there is deficiency of agreement on matching procedure cleft lip repair for evaluating outcome through different research centers. Aim and objectives: Evaluation and comparison of treatment outcomes following repair of uni-lateral cleft lip (UCL) defects via the Tennyson-Randall (triangular) (TR) method or the modified Millard rotation-advancement (M) method. Subjects and methods: This was a prospective cohort randomized controlled trial (RCT) that had been performed at plastic Surgery departments at Nasr City Insurance Hospital, Beni Suef Insurance Hospital and Al-Azhar University (Al-Hussein and Sayed Galal) Hospitals and included 40 subjects with uni-lateral cleft lip (UCL). Results: According to Cupid’s bow symmetry post-operatively and on following-up in every group. At Day -30 after surgery, most of the patient was evaluated as symmetrical (70% in-group M and 85% in-group T) with nonsignificant change among both groups, also nonsignificant change among both groups according to Evaluator assessment of operative outcome of the nose. Conclusion: the present work revealed that there is no main change in the general consequences amid the Tennison-Randall (TR) and Millard rotation advancement (M) repairs. Consequently, either method can be utilized for uni-lateral clefts, considering the strength and weakness of every method.