Quality Assessment of White Roll Vermillion Turn Down Flap for Primary Cheiloplasty | ||
| Egyptian Journal of Oral and Maxillofacial Surgery | ||
| Volume 14, Issue 1, January 2023, Pages 14-19 PDF (897.8 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/OMX.2023.213108.1189 | ||
| Authors | ||
| Mohammed Elkhouly* 1; Khaled Barakat2; Hamed gad3; Mohamed Fathy4 | ||
| 1Ph.D. Candidate & Assistant Lecturer Of Oral and Maxillofacial surgery , Faculty of dentistry ,Minia University , | ||
| 2Professor & Head of Maxillofacial Surgery Department. Faculty of Dentistry. Minia University | ||
| 3Professor Oral & maxillofacial surgery department ,faculty of dentistry, minia university | ||
| 4Associate Professor & Head of Pediatric Surgery Unit , Faculty of Medicine ,Minia university | ||
| Abstract | ||
| Background: Cleft Lip Dilemma is considered an interesting era for surgeons since ancient human beings. Reviewing History, Romans considered neonates with the cleft lip as evil spirits. Wey Young-Chi; a Chinese soldier; is the first reported case of cleft lip surgery in 390 BC. The Daily cleft lip operations or research worldwide is targeting the quality of either guardians' or surgeons' satisfaction. Objective: This is a prospective Clinical Case series study to assess both guardians' and surgeon's satisfaction regarding one of the developing modified Millard techniques known as (White roll vermillion turn-down) flap Introduced by an Indian Plastic surgeon in 2015 Patients and Methods: 20 infants with complete unilateral cleft lip were enrolled in our study, met our inclusion criteria underwent primary cheiloplasty with a developing technique published in India by R. K. Mishra, Amit Agarwal with the basic idea of preserving the white roll continuity. Guardian continuously referenced evaluation regarding esthetic outcomes obtained with a time frame (, 1 month and 3 months postoperatively. On the other hand, a blind third-party professional assessment was obtained with two separate Consultants at the same mentioned time frame. Results: there was a significant increase in patient guardians satisfaction at 3 months compared with 1-month postoperatively. And regarding the professional assessment of the esthetic outcome either lip or nostril symmetry was quite symmetrical with the contralateral un-clefted side at 3 months compared with 1-month postoperativly Conclusion: The White roll vermillion turn-down flap modification is a promising winning horse in primary cleft lip repair, with very satisfactory esthetic outcomes especially such as scar visibility, lip & nostril symmetry. | ||
| Keywords | ||
| Mishra; White roll; Primary cleft Lip; symmetry; satisfaction | ||
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