Quality Assessment of White Roll Vermillion Turn Down Flap for Primary Cheiloplasty
Elkhouly, M., Barakat, K., gad, H., Fathy, M. (2023). Quality Assessment of White Roll Vermillion Turn Down Flap for Primary Cheiloplasty. EKB Journal Management System, 14(1), 14-19. doi: 10.21608/OMX.2023.213108.1189
Mohammed Elkhouly; Khaled Barakat; Hamed gad; Mohamed Fathy. "Quality Assessment of White Roll Vermillion Turn Down Flap for Primary Cheiloplasty". EKB Journal Management System, 14, 1, 2023, 14-19. doi: 10.21608/OMX.2023.213108.1189
Elkhouly, M., Barakat, K., gad, H., Fathy, M. (2023). 'Quality Assessment of White Roll Vermillion Turn Down Flap for Primary Cheiloplasty', EKB Journal Management System, 14(1), pp. 14-19. doi: 10.21608/OMX.2023.213108.1189
Elkhouly, M., Barakat, K., gad, H., Fathy, M. Quality Assessment of White Roll Vermillion Turn Down Flap for Primary Cheiloplasty. EKB Journal Management System, 2023; 14(1): 14-19. doi: 10.21608/OMX.2023.213108.1189

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, Page 14-19  XML PDF (897.8 K)
Document Type: Original Article
DOI: 10.21608/OMX.2023.213108.1189
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Authors
Mohammed Elkhouly email orcid 1; Khaled Barakatorcid 2; 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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