[Analysis of the Millard method for unilateral cleft lip repair].
OBJECTIVE
To analyze and describe the advantages and disadvantages of the Millard repair in the unilateral cleft lip (UCL).


METHODS
In 30 patients with UCL undergoing the cleft lip repair with the Millard I or II method, the vermilion was repaired by a modified method with a triangle flap, while the alar cartilage reposition was performed.


RESULTS
Postoperative follow-up of 6-12 months revealed the good results with invisible scar, good preservation of philtrum dimple and column, full vermilion and lengthened columella, good alar cartilage reposition.


CONCLUSIONS
The Millard method is good for UCL repair. The modified technique with a triangle flap on the vermilion edge can overcome Millard's disadvantages. The anatomic reposition of the affected alar cartilage by blunt dissection at the first stage is suitable for the oriental.
Zhang
Ru-hong
RH
Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai Second Medical University, Shanghai 200011, China.
Zhu
Chang
C
Mu
Xiong-zheng
XZ
Feng
Sheng-zhi
SZ
D000293:Adolescent; D002648:Child; D002921:Cicatrix; D002971:Cleft Lip / Q000601:surgery*; D004954:Esthetics; D006801:Humans; D008046:Lip / Q000601:surgery*; D055171:Nasal Cartilages / Q000601:surgery; D009300:Nasal Septum / Q000601:surgery; D011184:Postoperative Period; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps