The Triple Unilimb Z Plasty Technique for Severe Forms of Unilateral Cleft Lip Repair

A 20-year experience in unilateral cleft lip repair: From Millard to the triple unilimb Z-plasty technique

BACKGROUND This study describes a 20-year experience of treating patients with unilateral cleft lip. During this time, various techniques were used including Millard's technique and its modification and two types of geometrically designed procedures. The study objective was to compare surgical outcomes of different surgical techniques for unilateral cleft lip repair. MATERIALS AND METHODS Thi...

The double unilimb z-plasty technique for whistler deformity repair in unilateral cleft lip patients: an anthropometric study.

OBJECTIVE The purpose of this study was to evaluate the symmetry in lip and vermillion height after using the double unilimb Z-plasty method for whistler deformity repair. DESIGN This is a retrospective audit of 1 surgeon's outcome of 52 consecutive performed whistler deformity repairs. SETTING Data from the Outreach Surgical Center Program, Lima, Peru, were used. PATIENTS Since 2009, 52 ...

Repair of the Median Microform Cleft Lip Using Z-Plasty

A median cleft lip is a rare central midline deficiency of the upper lip. Multiple surgical techniques are described in the literature to address this defect, though there is little consensus on the preferred surgical technique. We describe an intra-oral approach for repair of the median upper lip cleft using mucosal Z-plasty. This technique provides excellent access to the attenuated orbicular...

Primary unilateral cleft lip repair

The unilateral cleft lip is a complex deformity. Surgical correction has evolved from a straight repair through triangular and quadrilateral repairs to the Rotation Advancement Technique of Millard. The latter is the technique followed at our centre for all unilateral cleft lip patients. We operate on these at five to six months of age, do not use pre-surgical orthodontics, and follow a protoco...

The Repair of the Unilateral Cleft Lip.