Aesthetic Outcome of Unilateral Cleft Lip Repair by Utilizing Three Techniques Fisher, Millard and Tennison Meta-Analysis | ||
| Al-Azhar International Medical Journal | ||
| Volume 2025, Issue 7, July 2025, Pages 237-243 PDF (503.05 K) | ||
| Document Type: Original Article | ||
| DOI: https://doi.org/10.21608/aimj.2025.446666 | ||
| Authors | ||
| Yasser Helmy Ali1; Mohamed Osama Ouf2; Ahmed Elsaeed Dorgham Ghazy Arafat* 3 | ||
| 1Professor of Plastic and burn Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||
| 2Assistant Professor of Plastic and burn Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||
| 3MBBCh, Faculty of Medicine, Resident of Plastic and burn Surgery Shebin-Elkom teaching hospital, Menoufia, Egypt | ||
| Abstract | ||
| Background: Cleft lip is a frequent birth defect affecting the face that affects around one in seven hundred live births. When the maxillary prominence fails to fuse with the medial nasal prominence, a unilateral cleft lip develops. Aim: To compare the Fisher with the Millard technique and Tennison technique in unilateral cleft lip regarding symmetry between cleft and non-cleft side (cutaneous roll, vermilion, cupid bow, and nostril), lip height and width, and scar appearance. Subjects and methods: This randomized controlled trial study was conducted, encompassing a search encompassing recent clinical trials, cohort trials, as well as prospective and retrospective comparative cohort studies. Results: According to the results, a random effects model was used to analyze data from 14 studies, including 293 people. With a p-value less than 0.05, the test for total effect shows statistical significance. The range of preoperative lip heights was 0.65 cm to 1.30 cm, with 1.09 cm being the median. The range of postoperative lip heights was 1.02 cm to 1.76 cm, with 1.50 cm being the median. The research was conducted using an inverse variance random model to assess the breadth of the lips before and after surgery. The minimum preoperative lip width was represents 0.89cm and maximum 2.09cm, with median 1.02cm. The minimum postoperative lip width was represents 0.96cm and maximum 2.34cm, with median 1.31cm. Conclusion: There is no correlation between the anatomical variation in cleft width and height and the diversity of cleft defects that can be treated by Fisher's incision. In cases of unilateral cleft lip repair, Fisher's incision proved to be the most effective surgical and cosmetic method. | ||
| Keywords | ||
| Aesthetic outcome; Fisher; Millard; Tennison meta-analysis | ||
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