Assessment of vermillion symmetry and scar quality in unilateral cleft lip repair using orbicularis oris muscle z-plasty modified millards technique versus fishers technique : A randomized clinical trial /
تقييم تماثل حافة الشفة و طبيعة الندبة في اصلاح الشفة الأرنبية أحادية الجانب باستخدام تقنية ميلارد المعدلة والرأب التجميلي لعضلة الفم الدويرية مقابل تقنية فيشر : دراسة سريرية عشوائية مقارنة
Mohammed Esmail Abdullah Alsabahi ; Supervised Basma Gamal Moussa , Mamdouh Ahmed Aboulhassan , Mostafa Ibrahim Shindy
- Cairo : Mohammed Esmail Abdullah Alsabahi , 2017
- 121 P. : charts , photographs ; 25cm
Thesis (M.Sc.) - Cairo University - Faculty of Oral and Dental Medicine - Department of Oral and Maxillofacial Surgery
Objectives: The aim of present study was toassess the vermillion symmetry and scar quality in surgical management of patients with unilateral cleft lip using orbicularis oris muscle z-plasty modified Millards technique versus Fishers technique. Patients and Methods: Twenty patients were selected with primary non-syndromic unilateral cleft lip.The patients were randomly assigned in to two equal groupseach of which ten patients. In Group I, eachpatient received unilateral cleft lip repair using orbicularis oris muscle (OOM)z-plasty modified Millards technique. While inGroup II, each patient received unilateral cleft lip repair using Fishers technique.In both groups the Vermillion symmetry of repaired cleft side was evaluated and measured in comparison to the non-cleft side of the same patient by Computerized Photogrammetric Lip Analysis using ImageJ software version 1.50f. For scar evaluation,objective assessment was performed in which the measurements for length and width were obtained by the same manner of analysis as in vermillion. In addition to scar evaluation usingVancouver scar scale at 6 months. Results: The results showed that, the evaluation of vermillion symmetry and scar quality was statisticallyinsignificant during the different follow-up periods (1 week, 3 months and 6 months) between OOM z-plasty modified Millards technique and Fishers technique. Similarly, there was no significant difference in scar evaluation using Vancouver Scar Scale between the two groups. Conclusion:Orbicularis oris muscle z-plasty modified Millards technique used in surgical treatment of unilateral cleft lip is a reliable technique as well as Fisher technique.Whileboth groups showed criteria of success,a very small difference in vermillion notching was documented favoring the OOM z-plasty modified Millards technique