Evaluation of the Millard technique associated with zetaplasty in the treatment of patients with unilateral cleft lip

INTRODUCTION: Cleft lips are very common congenital deformities that affect, in varying degrees, the soft tissues and bone structures of the middle third of the face. Surgical treatment should be performed early and a protocol must be followed, which varies according to the reference center. There a...

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Main Authors: Daniel de Cazeto Lopes, Andrés Fernando Cánchica Cano, Leonardo Gobetti, Marcos Ricardo Menegazzo, Osvaldo Saldanha
Format: Article
Language:English
Published: Sociedade Brasileira de Cirurgia Plástica 2018-03-01
Series:Revista Brasileira de Cirurgia Plástica
Subjects:
Online Access:http://www.rbcp.org.br/export-pdf/1919/en_v33n1a12.pdf
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author Daniel de Cazeto Lopes
Andrés Fernando Cánchica Cano
Leonardo Gobetti
Marcos Ricardo Menegazzo
Osvaldo Saldanha
author_facet Daniel de Cazeto Lopes
Andrés Fernando Cánchica Cano
Leonardo Gobetti
Marcos Ricardo Menegazzo
Osvaldo Saldanha
author_sort Daniel de Cazeto Lopes
collection DOAJ
description INTRODUCTION: Cleft lips are very common congenital deformities that affect, in varying degrees, the soft tissues and bone structures of the middle third of the face. Surgical treatment should be performed early and a protocol must be followed, which varies according to the reference center. There are numerous surgical techniques for lip repair, and among them, the Millard technique is the most used. The objective is to evaluate the association of the Millard type I with zetaplasty mucosal technique (used by the author) as the surgery of choice for primary lip repair in patients with unilateral cleft lip, and to understand whether the techniques are appropriate when the number of second surgeries (reoperation) is low. METHODS: Sixty-five patients underwent operations by this technique from January 2007 to December 2012 in Santos, all of whom were followed for at least four years. RESULTS: Of the 65 patients, 10 (15%) were considered to present "unsatisfactory results" and underwent reoperation. CONCLUSION: Primary cheiloplasty with zetaplasty-associated Millard type I is appropriate when the number of reoperations is low, and our results agree with the current literature.
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spelling doaj.art-9caec12617674179b77f2147c5d2cb942023-12-03T10:02:52ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352018-03-013301828810.5935/2177-1235.2018RBCP0012Evaluation of the Millard technique associated with zetaplasty in the treatment of patients with unilateral cleft lipDaniel de Cazeto Lopes0Andrés Fernando Cánchica Cano1Leonardo Gobetti2Marcos Ricardo Menegazzo3Osvaldo Saldanha4Hospital Estadual Guilherme Álvaro, Santos, SP, BrazilClínica Osvaldo Saldanha, Santos, SP, BrazilClínica Osvaldo Saldanha, Santos, SP, BrazilClínica Osvaldo Saldanha, Santos, SP, BrazilClínica Osvaldo Saldanha, Santos, SP, BrazilINTRODUCTION: Cleft lips are very common congenital deformities that affect, in varying degrees, the soft tissues and bone structures of the middle third of the face. Surgical treatment should be performed early and a protocol must be followed, which varies according to the reference center. There are numerous surgical techniques for lip repair, and among them, the Millard technique is the most used. The objective is to evaluate the association of the Millard type I with zetaplasty mucosal technique (used by the author) as the surgery of choice for primary lip repair in patients with unilateral cleft lip, and to understand whether the techniques are appropriate when the number of second surgeries (reoperation) is low. METHODS: Sixty-five patients underwent operations by this technique from January 2007 to December 2012 in Santos, all of whom were followed for at least four years. RESULTS: Of the 65 patients, 10 (15%) were considered to present "unsatisfactory results" and underwent reoperation. CONCLUSION: Primary cheiloplasty with zetaplasty-associated Millard type I is appropriate when the number of reoperations is low, and our results agree with the current literature.http://www.rbcp.org.br/export-pdf/1919/en_v33n1a12.pdfcleft lipreconstructive surgical procedurescongenital abnormalities
spellingShingle Daniel de Cazeto Lopes
Andrés Fernando Cánchica Cano
Leonardo Gobetti
Marcos Ricardo Menegazzo
Osvaldo Saldanha
Evaluation of the Millard technique associated with zetaplasty in the treatment of patients with unilateral cleft lip
Revista Brasileira de Cirurgia Plástica
cleft lip
reconstructive surgical procedures
congenital abnormalities
title Evaluation of the Millard technique associated with zetaplasty in the treatment of patients with unilateral cleft lip
title_full Evaluation of the Millard technique associated with zetaplasty in the treatment of patients with unilateral cleft lip
title_fullStr Evaluation of the Millard technique associated with zetaplasty in the treatment of patients with unilateral cleft lip
title_full_unstemmed Evaluation of the Millard technique associated with zetaplasty in the treatment of patients with unilateral cleft lip
title_short Evaluation of the Millard technique associated with zetaplasty in the treatment of patients with unilateral cleft lip
title_sort evaluation of the millard technique associated with zetaplasty in the treatment of patients with unilateral cleft lip
topic cleft lip
reconstructive surgical procedures
congenital abnormalities
url http://www.rbcp.org.br/export-pdf/1919/en_v33n1a12.pdf
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