Our Summary

This research paper discusses the Millard technique, a procedure used to treat a craniofacial disorder called bilateral cleft lip and palate. A cleft lip and palate is a condition where a baby is born with a gap in the upper lip and the roof of the mouth. The Millard technique is a surgical method used to repair this anomaly, closing the gap and improving the child’s ability to eat, speak, and breathe, while also enhancing their appearance. The paper examines the effectiveness of this technique.

FAQs

  1. What is the Millard technique used for in relation to cleft lip repair?
  2. What does the term ‘bilateral cleft lip’ mean?
  3. What is a craniofacial anomaly?

Doctor’s Tip

After cleft lip repair surgery, it is important to keep the incision site clean and dry to prevent infection. Avoid touching or picking at the area, and follow any post-operative care instructions provided by your surgeon. It is also important to attend all follow-up appointments to monitor healing and ensure the best possible outcome.

Suitable For

Patients with cleft lip are typically recommended for repair surgery if they have a visible separation or gap in the upper lip that can affect their appearance and ability to eat, speak, and breathe properly. Cleft lip repair is commonly recommended for infants and young children, but can also be performed on older children and adults. Patients with associated conditions such as cleft palate or other craniofacial anomalies may also be recommended for cleft lip repair surgery. The Millard technique is a common surgical approach used for cleft lip repair.

Timeline

Before cleft lip repair:

  • Prenatal diagnosis of cleft lip through ultrasound or other imaging techniques
  • Consultation with a multidisciplinary team of healthcare professionals, including plastic surgeons, pediatricians, speech therapists, and social workers
  • Preparation for surgery, which may include blood tests, imaging studies, and counseling for the family
  • Admission to the hospital on the day of surgery
  • Anesthesia administration before the procedure

After cleft lip repair:

  • Immediate postoperative care in the recovery room, where the patient is monitored for any complications
  • Pain management with medications as needed
  • Instructions for wound care and feeding techniques to promote healing
  • Follow-up appointments with the surgical team to monitor healing progress and address any concerns
  • Speech therapy and other interventions as needed to address any speech or feeding difficulties
  • Long-term follow-up for monitoring growth and development, as well as potential need for additional surgeries or interventions.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with cleft lip repair surgery?
  2. How long is the recovery process and what can I expect during the recovery period?
  3. Will there be visible scarring after the surgery and how can it be minimized?
  4. How many surgeries will I need to fully correct the cleft lip?
  5. What are the long-term outcomes and potential challenges associated with cleft lip repair?
  6. Are there any alternative treatment options or techniques available for cleft lip repair?
  7. What type of anesthesia will be used during the surgery and are there any potential side effects?
  8. How experienced is the surgical team in performing cleft lip repair surgeries?
  9. Will I need any additional treatments or therapies after the surgery to address any remaining issues with the cleft lip?
  10. What can I do to prepare for the surgery and ensure the best possible outcome?

Reference

Authors: Manlove AE, Linnebur AM. Journal: Atlas Oral Maxillofac Surg Clin North Am. 2022 Mar;30(1):19-25. doi: 10.1016/j.cxom.2021.11.005. PMID: 35256106