Contemporary Trends in Unilateral Cleft Lip Repair

Document Type : Original Article

Authors

1 Professor of General Surgery, Faculty of Medicine, Benha University

2 M.B.B.Ch, Faculty of Medicine, Benha University

3 Lecturer of General Surgery, Faculty of Medicine, Benha University

Abstract

Background: Cleft lip, a common congenital facial malformation estimated to be present in 1 in 600 live births, has a significant impact on the developmental, somatic, and psychological aspects of a patient. This study aimed to assess outcome of fisher technique versus Millard technique in unilateral cleft lip repair functionally and aesthetically. Methods: This study was a comparative surgical study that has been carried out on Benha University Hospital – general surgical department - pediatric surgery unit and it included 20 patients who underwent to repair of their unilateral cleft lip were divided into two groups: Group A: 10 patients were operated by Millard technique and Group B: 10 patients were operated by Fisher technique. Results: The postoperative lip height, vermilion height and nostril height were significantly higher in group B compared to group A (P<0.001, <0.001, <0.001), whereas the postoperative nostril width was significantly lower in group B compared to group A (P=0.002). There was an insignificant difference between both groups regarding the preoperative lip height, pre- and postoperative lip width, preoperative vermilion height, pre- and postoperative alar base, preoperative nostril height and width. Conclusion: The Fisher anatomical subunit approach yielded more favourable outcomes and fewer adverse ones than the Millard technique in unilateral cleft lip repair cases, as determined by the Steffensen criteria. In contrast, the incisions did not exhibit any discernible variation in their overall aspect.

Keywords

Benha Medical Journal
Volume 42, Issue 8
August 2025
Pages 178-188

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