Authors :
Arie Pratama Putra; Dharma PTR Maluegha; Nadia Tamara Putri
Volume/Issue :
Volume 9 - 2024, Issue 5 - May
Google Scholar :
https://tinyurl.com/32avjekd
Scribd :
https://tinyurl.com/tsvwc3zm
DOI :
https://doi.org/10.38124/ijisrt/IJISRT24MAY1449
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Background: Cleft lip and palate, are spaces or
gaps in the alveolus, palate, or upper lip. They are the
most common congenital anomaly of the orofacial region
with etiologies rooted in genetic and environmental
factors. As the result of these structural abnormalities,
patients with cleft lip and palate have speech difficulties,
feeding problems, reduced nasal airflow, and aesthetic
issues. Patient with cleft lip and palate need to be treated
at the appropriate time and age to achieve functional and
aesthetic well-being. Case History: A 4-month-old male,
born with cleft lip up the nostrils, upper gum and palate
on left side, experienced feeding difficulties, came to DR.
H. Moch Ansari Saleh Hospital Banjarmasin. The patient
then underwent a modified Millard technique with
paranasal flap. Conclusion: The modified Millard
technique and paranasal flap can be considered a
viable option for treating unilateral cleft lip as it provides
good aesthetic results by minimizing lip scarring.
Although primary nasoplasty remains controversial,
primary nasoplasty during cleft lip repair gives good
results with limited or no effect on nasal growth. When
the patient reach 9-months old, another surgery to restore
the palate was scheduled.
Keywords :
Cleft Lip and Palate, Modified Millard Technique, Paranasal Flap, Reconsctrution.
References :
- Vyas T, Gupta P, Kumar S, Gupta R, Gupta T, Singh HP. Cleft of lip and palate: A review. J Fam Med Prim Care. 2020 Jun 30;9(6):2621–5.
- Mrudula Celine Vincent, Brinda Suhas Godhi, Shalini Yurembam, Chanchala Hp. Comprehensive care of children with cleft lip and palate. Int J Sci Res Arch. 2023 Jul 30;9(2):171–7.
- Saikia A, Muthu MS, Orenuga OO, Mossey P, Ousehal L, Yan S, et al. Systematic Review of Clinical Practice Guidelines for Oral Health in Children With Cleft Lip and Palate. Cleft Palate Craniofac J. 2022 Jun;59(6):800–14.
- Leathers TA, Rogers CD. Nonsteroidal anti-inflammatory drugs and implications for the cyclooxygenase pathway in embryonic development. Am J Physiol-Cell Physiol. 2023 Feb;324(2):C532–9.
- Pujol G, Riera March A. Cleft Lip Repair. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 [cited 2024 Apr 24]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK564326/
- Iswara, Theodora & Hakim, Muhammad. (2023). A Case Report: Unilateral Complete Cleft Lip Reconstruction Using The Modification Millard Technique. Jurnal Rekonstruksi dan Estetik. 8. 14-20. 10.20473/jre.v8i1.43868.
- Pendem S, Bhuvan Chandra R, Selvarasu K, Krishnan M, M.R. M, J P. Analysis of Different Facets of the Rule of 10 for Cleft Lip Repair for Their Application in the Current Era. Cureus. 16(2):e53832.
- Narayanan P. Millard’s rotation advancement technique for unilateral cleft lip repair. J Cleft Lip Palate Craniofacial Anom. 2021 Jan 1;8:157.
- Abdullateef KS, Nagaty MAM, Fathy M, Elmenawi KA, Aboalazayem A, Abouelfadl MH. The Outcomes of Modified Millard Technique Versus Tennison-Randall Technique in Unilateral Cleft Lip Repair: A Comparative Trial. Afr J Paediatr Surg. 2024 Mar;21(1):12.
- Soedjana H, Prasetyo AT, Dewi C. Paranasal transposition flap in facial soft tissue reconstruction of facial cleft Tessier type 3 & ADAM complex: A case report. Int J Surg Case Rep. 2021 Oct;87:106432. doi: 10.1016/j.ijscr.2021.106432. Epub 2021 Sep 22. PMID: 34607266; PMCID: PMC8497849.
- Cleft Lip Nasal Deformity: Practice Essentials, History of the Procedure, Etiology. 2024 Jan 16 [cited 2024 Apr 24]; Available from: https://emedicine.medscape.com/article/842043-overview#a1
- Abdulrauf BMI. Nasal Deformity in Association with Cleft Lip - Management from Infancy to Adulthood [Internet]. IntechOpen; 2022 [cited 2024 Apr 24]. Available from: https://www.intechopen.com/online-first/79587
- Hoshal SG, Solis RN, Tollefson TT. Controversies in Cleft Rhinoplasty. Facial Plast Surg. 2020 Feb;36(01):102–11.
- Fuller JC, Shaye DA. Unilateral cleft lip repair. Oper Tech Otolaryngol-Head Neck Surg. 2020 Mar;31(1):55–61.
- Zelko I, Zielinski E, Santiago CN, Alkureishi LWT, Purnell CA. Primary Cleft Rhinoplasty: A Systematic Review of Results, Growth Restriction, and Avoiding Secondary Rhinoplasty. Plast Reconstr Surg. 2023 Mar;151(3):452e.
Background: Cleft lip and palate, are spaces or
gaps in the alveolus, palate, or upper lip. They are the
most common congenital anomaly of the orofacial region
with etiologies rooted in genetic and environmental
factors. As the result of these structural abnormalities,
patients with cleft lip and palate have speech difficulties,
feeding problems, reduced nasal airflow, and aesthetic
issues. Patient with cleft lip and palate need to be treated
at the appropriate time and age to achieve functional and
aesthetic well-being. Case History: A 4-month-old male,
born with cleft lip up the nostrils, upper gum and palate
on left side, experienced feeding difficulties, came to DR.
H. Moch Ansari Saleh Hospital Banjarmasin. The patient
then underwent a modified Millard technique with
paranasal flap. Conclusion: The modified Millard
technique and paranasal flap can be considered a
viable option for treating unilateral cleft lip as it provides
good aesthetic results by minimizing lip scarring.
Although primary nasoplasty remains controversial,
primary nasoplasty during cleft lip repair gives good
results with limited or no effect on nasal growth. When
the patient reach 9-months old, another surgery to restore
the palate was scheduled.
Keywords :
Cleft Lip and Palate, Modified Millard Technique, Paranasal Flap, Reconsctrution.