Analysis and evolution of rotation principles in unilateral cleft lip repair.
Unilateral cleft lip repair, over the last century, has seen both revolutionary changes and subtle technical refinements. Millard's rotation/advancement technique stands among the most striking of these innovations. We review the evolution of unilateral cleft lip repair including a look at straight-line, geometric and rotation/advancement type of repairs, while looking closely at the underlying theme of rotation and how common principles are evident in differing techniques. A review of how the medial cleft lip element is lengthened in these differing approaches illustrates common principles that, if learned and applied, will aid both the novice and experienced surgeon approach repair of the unilateral cleft lip in the lifelong quest of improved outcomes.
Demke
Joshua C
JC
Facial Plastic and Reconstructive Surgery Division of Otolaryngology, Department of Surgery, Texas Tech University, School of Medicine, 3601 4th Street, Lubbock, TX 79430, USA. joshua.demke@tttuhsc.edu
Tatum
Sherard A
SA
D002971:Cleft Lip / Q000601:surgery*; D006801:Humans; D019647:Oral Surgical Procedures / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012399:Rotation; D013524:Surgical Flaps