An evaluation of surgical outcome of bilateral cleft lip surgery using a modified Millard's (Fork Flap) technique

dc.contributor.authorAdeyemo, W.L.
dc.contributor.authorJames, O.
dc.contributor.authorAdeyemi, M.O.
dc.contributor.authorOgunlewe, M.O.
dc.contributor.authorLadeinde, A.L.
dc.contributor.authorButali, A.
dc.contributor.authorTaiwo, O.A.
dc.contributor.authorEmeka, C.I.
dc.contributor.authorAyodele, A.O.
dc.contributor.authorUgwumba, C.U.
dc.date.accessioned2019-10-22T14:53:53Z
dc.date.available2019-10-22T14:53:53Z
dc.date.issued2013-12-01
dc.descriptionStaff publicationsen_US
dc.description.abstractBACKGROUND: The central third of the face is distorted by the bilateral cleft of the lip and palate and restoring the normal facial form is one of the primary goals for the reconstructive surgeons. The history of bilateral cleft lip repair has evolved from discarding the premaxilla and prolabium and approximating the lateral lip elements to a definitive lip and primary cleft nasal repair utilising the underlying musculature. The aim of this study was to review surgical outcome of bilateral cleft lip surgery (BCLS) done at the Lagos University Teaching Hospital. MATERIALS AND METHODS: A review of all cases of BCLS done between January 2007 and December 2012 at the Lagos University Teaching Hospital was done. Data analysis included age and sex of patients, type of cleft deformity and type of surgery (primary or secondary) and whether the cleft deformity was syndromic and non-syndromic. Techniques of repair, surgical outcome and complications were also recorded. RESULTS: A total of 39 cases of BCLS involving 21 males and 18 females were done during the period. This constituted 10% (39/390) of all cases of cleft surgery done during the period. There were 5 syndromic and 34 non-syndromic cases. Age of patients at time of surgery ranged between 3 months and 32 years. There were 24 bilateral cleft lip and palate deformities and 15 bilateral cleft lip deformities. Thirty-one of the cases were primary surgery, while 8 were secondary (revision) surgery. The most common surgical technique employed was modified Fork flap (Millard) technique, which was employed in 37 (95%) cases. CONCLUSION: Bilateral cleft lip deformity is a common cleft deformity seen in clinical practice, surgical repair of which can be a challenge to an experienced surgeon. A modified Fork flap technique for repair of bilateral cleft lip is a reliable and versatile technique associated with excellent surgical outcome.en_US
dc.identifier.citationAdeyemo, W.L., James, O., Adeyemi, M.O., Ogunlewe, M.O., Ladeinde, A.L., Butali, A., Taiwo, O.A., Emeka, C.I., Ayodele AO, Ugwumba CU. An evaluation of surgical outcome of bilateral cleft lip surgery using a modified Millard's (Fork Flap) technique. Afr J Paediatr Surg. Vol.10(4):307-10en_US
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/6451
dc.language.isoenen_US
dc.publisherWolters Kluweren_US
dc.subjectBilateral cleft lipen_US
dc.subjectNew technique of repairen_US
dc.subjectSurgical outcomeen_US
dc.subjectEvaluationen_US
dc.subjectResearch Subject Categories::ODONTOLOGYen_US
dc.titleAn evaluation of surgical outcome of bilateral cleft lip surgery using a modified Millard's (Fork Flap) techniqueen_US
dc.typeArticleen_US
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