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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

The Comparison of Different Surgical Techniques Used for Repair of Complete Unilateral Cleft Lip

1
Institute of Odontology, Faculty of Medicine, Vilnius University
2
Faculty of Medicine, Vilnius University, Lithuania
*
Author to whom correspondence should be addressed.
Medicina 2011, 47(2), 11; https://doi.org/10.3390/medicina47020011
Received: 19 January 2010 / Accepted: 11 February 2011 / Published: 16 February 2011
Up to now, many various techniques have been proposed for the repair of complete unilateral cleft lip. The aim of this study was to compare late results of three different surgical techniques (C. Tennison, R. Millard, and J. Olekas) used for the repair of complete unilateral cleft lip and to analyze their advantages and disadvantages.
Material and Methods
. Sixty-six patients with nonsyndromic complete unilateral cleft lip, alveolus, and palate were examined. For 19 patients (28.8%), cleft lip repair was performed using the Tennison technique; for 20 patients (30.3%), Millard technique; and for 27 patients (40.9%), Olekas technique. Results were assessed by score, which was given by analyzing standardized photographs of nasolabial triangles. For the assessment, the modified scale according to Mortier and Anastassov was used. Separate anatomical elements – red lip, white lip, scars, and nose – were assessed.
Results
. The best appearance of the red lip and white lip was found after the Tennison technique. Scars and nose looked the best after Olekas cheiloplasty. There were no significant differences in the evaluation of red lip and nose appearance comparing all three analyzed surgical techniques (P>0.05). Tennison technique showed significantly better results in the appearance of the white lip (P<0.05); the appearance of scars was significantly better after the Olekas repair (P<0.001).
Conclusions
. Height of white lip and symmetry of the Cupid’s bow were better restored by using the Tennison technique. The physiological configuration of the white lip and less visible scars were achieved by using the Olekas technique. All techniques were equal in red lip and nose formations.
Keywords: unilateral cleft lip; cheiloplasty; rating scale; late results unilateral cleft lip; cheiloplasty; rating scale; late results
MDPI and ACS Style

Zaleckas, L.; Linkevičienė, L.; Olekas, J.; Kutra, N. The Comparison of Different Surgical Techniques Used for Repair of Complete Unilateral Cleft Lip. Medicina 2011, 47, 11.

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