Department of Pediatric Surgery, Cairo University Specialized Pediatric Hospital, Cairo, Egypt.
Department Pediatric Surgery, Minia University, Minya, Egypt.
Afr J Paediatr Surg. 2024 Jan 1;21(1):12-17. doi: 10.4103/ajps.ajps_99_22. Epub 2023 Feb 14.
This study aimed to use anthropometric measurements taken pre- and post-operation to evaluate quantitative assessment of modified Millard technique compared with Tennison-Randall technique in unilateral cleft lip (UCL) repair.
Prospective randomised controlled study recruited infants scheduled for UCL repair. Infants aged 2-6 months, either complete or incomplete deformity. A total of 68 patients were randomised in 1:1 ratio to undergo either modified Millard technique (Group I) or Tennison-Randall technique (Group II).
Group I had significantly longer operative time than Group II (85.7 ± 7.4 vs. 68.7 ± 8.8 min, respectively; P < 0.001). Group I has less post-operative wound infection, wound dehiscence and wound scarring than Group II, but Group II has less post-operative lip notch. In Group I, greater increases in post-operative horizontal lip length and vertical lip height were observed, compared to Group II, without statistically significant difference. Group I showed a greater reduction in nasal width and total nasal width than Group II, without statistically significance. Group II had a greater increase in philtral height. However, only post-operative Cupid's-bow width was significantly different between two groups (P = 0.041).
Overall results demonstrate no significant differences between modified Millard technique and Tennison-Randall technique.
本研究旨在通过术前和术后的人体测量学测量，评估改良 Millard 技术与 Tennison-Randall 技术在单侧唇裂（UCL）修复中的定量评估。
前瞻性随机对照研究招募了计划接受 UCL 修复的婴儿。2-6 月龄、完全或不完全畸形的婴儿。68 例患儿按 1:1 比例随机分为改良 Millard 组（I 组）和 Tennison-Randall 组（II 组）。
I 组的手术时间明显长于 II 组（分别为 85.7±7.4 分钟和 68.7±8.8 分钟；P<0.001）。I 组术后伤口感染、伤口裂开和伤口瘢痕少于 II 组，但 II 组术后唇峰缺失较少。与 II 组相比，I 组术后上唇长度和垂直唇高度增加较多，但无统计学差异。I 组的鼻宽和总鼻宽比 II 组减少较多，但无统计学意义。II 组的人中高度增加较多。然而，只有术后唇弓宽度在两组间有显著差异（P=0.041）。
总体结果表明，改良 Millard 技术与 Tennison-Randall 技术之间无显著差异。
