Adetayo Adekunle Moses, Adetayo Modupe Olushola, Adeyemo Wasiu Lanre, James Olutayo O, Adeyemi Michael O
Department of Surgery, Benjamin Carson School of Medicine, Babcock University, Ilishan-Remo, Nigeria.
Dental Unit, Babcock University Teaching Hospital, Ilishan-Remo, Nigeria.
J Korean Assoc Oral Maxillofac Surg. 2019 Jun;45(3):141-151. doi: 10.5125/jkaoms.2019.45.3.141. Epub 2019 Jun 28.
The outcomes of the treatment of unilateral cleft lip can vary considerably due to variations in repair techniques. The aim of this study was to evaluate and compare treatment outcomes of surgical repair of unilateral cleft lip using either the Tennison-Randall or Millard technique based on (qualitative) parent/subject and professional assessments.
This was a prospective, randomized, controlled study conducted at Lagos University Teaching Hospital between January 2013 and July 2014. A total of 56 subjects with unilateral cleft lip presenting for primary surgery who satisfied the inclusion criteria were recruited for the study. Subjects were randomly allocated to surgical groups A or B through balloting. Group A underwent cleft repair with the Tennison-Randall technique, while group B underwent cleft repair with the Millard rotation advancement technique. Surgical outcome was assessed using qualitative evaluation by the guardian/subject and independent assessors based on a modified form of the criteria described by Christofides and colleagues.
Of the 56 subjects enrolled in this study, 32 were male, with a male to female ratio of 1.3:1. Fifteen of the guardians/subjects in the Tennison-Randall group were most bothered about the lower part of the residual lip scar, while 12 guardians/subjects in the in the Millard group were most bothered about the upper part of the scar. More noses were judged to be flattened in the Millard group than in the Tennison-Randall group. Assessors observed a striking disparity in scar transgression of the philtral ridges between the two groups.
Essentially, there were no major difference in the overall results between Millard rotation-advancement and Tennison-Randall repairs. Both Millard and Tennison-Randall's techniques require significant improvements to improve the appearance of the scar on the upper part and lower part of the lip, respectively.
由于修复技术的差异，单侧唇裂的治疗结果可能有很大不同。本研究的目的是基于（定性的）家长/受试者及专业评估，评估和比较采用坦尼森-兰德尔（Tennison-Randall）技术或米勒德（Millard）技术进行单侧唇裂手术修复的治疗结果。
这是一项于2013年1月至2014年7月在拉各斯大学教学医院进行的前瞻性、随机、对照研究。共有56例符合纳入标准的单侧唇裂患者前来接受初次手术，并被纳入本研究。通过抽签将受试者随机分配至手术A组或B组。A组采用坦尼森-兰德尔技术进行唇裂修复，而B组采用米勒德旋转推进技术进行唇裂修复。采用监护人/受试者及独立评估者基于克里斯托菲德斯及其同事所描述标准的改良版进行定性评估，以评估手术结果。
本研究纳入的56例受试者中，男性32例，男女比例为1.3:1。坦尼森-兰德尔组中有15名监护人/受试者最担心残留唇裂瘢痕的下部，而米勒德组中有12名监护人/受试者最担心瘢痕的上部。与坦尼森-兰德尔组相比，米勒德组中更多的鼻子被判定为扁平。评估者观察到两组之间人中嵴瘢痕越过情况存在显著差异。
从本质上讲，米勒德旋转推进修复术和坦尼森-兰德尔修复术的总体结果没有重大差异。米勒德技术和坦尼森-兰德尔技术都需要进行重大改进，以分别改善唇上部和下部瘢痕的外观。
