COMPARISON OF ROTATION-ADVANCEMENT AND STRAIGHT-LINE METHODS FOR REPAIRING OF UNILATERAL CLEFT LIP (A RANDOMIZED CONTROLLED CLINICAL TRIAL). | ||||
Alexandria Dental Journal | ||||
Article 45, Volume 47, Issue 2, August 2022, Page 181-188 PDF (857.98 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/adjalexu.2021.48778.1120 | ||||
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Authors | ||||
heba ammar 1; Nagy H Elprince2; Abdel-Aziz F. Khalil3; Ahmed O Sweedan4 | ||||
1oral and maxillofacial surgery alexandria university alexandria egypt | ||||
2Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Egypt. | ||||
3Professor of Oral and maxillofacial surgery, Department of Oral and maxillofacial surgery, Faculty of Dentistry, Alexandria University, Egypt | ||||
4Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Egypt. | ||||
Abstract | ||||
Introduction: cleft is a universal and non-standardized defect. To overcome stigmatization; different surgical techniques and modifications have been developed. Objectives: comparing the effectiveness of rotation-advancement versus straight-line approaches in repairing unilateral cleft lip. Methodology: Twelve patients with unilateral cleft lip were participated. These patients were equally divided into two groups; each group was operated on with Millard or Fisher incisions. Caliper measurements of the lip and nose were recorded preoperatively. The analysis was based on a quantitative and qualitative comparison of the cleft side versus the non-cleft side for 3 outcomes were used to assess the aesthetic difference between the two incisions; These outcomes were measured postoperatively at 6 months. Chi-square; Mann Whitney test was used for statistical comparison of outcomes. The results: the nasal asymmetry improved in both groups with a better result in cases operated on with Fisher; which was statistically significant at (2.201* (0.028*). The medial lip height is increased in both groups, but was not statistically significant; the difference was statistically significant for the increase of lateral lip height of both groups at a P-value of | ||||
Keywords | ||||
Cleft lip; Straight-line; Rotation-advancement; Fisher; Millard | ||||
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