Orbicularis Oris Z-plasty Modification of Modified Millard Technique and the Esthetic Outcome of Cleft Lip Repair

Esthetic Outcomes Evaluation of Unilateral Cleft Lip Repaired by Orbicularis Oris Z-plasty Modification of Modified Millard Technique Versus Modified Millard Technique. A Randomized Clinical Trail.

This study aimed to evaluate the effect of orbicularis oris muscle z-plasty modification of modified Millard technique on the esthetic outcome and length of the repaired lip

forty patients with a unilateral cleft lip will be enrolled in this randomized comparative study. The patients will be divided into two groups, the control (group A) who treated with the modified Millard technique and the study group who repaired by orbicularis oris muscle Zplasty modification of modified Millard technique (group B).

Inclusion Criteria:

• non-syndromic cleft lip patients.
• Primary, unilateral, complete or incomplete cleft lip.
• The patient's age is younger than six months.
• lip repair performed by one craniofacial surgeon

Exclusion Criteria

• syndromic cleft lip.
• Secondary lip treatment (previously operated cases)
• Bilateral cleft lip
• Patients are older than six months. Associated Cardiac anomalies. Any systemic condition