Abstract:
To handle premaxilla of Bilateral cleft lip cases is the biggest challenge for a surgeon. All the post-operative complication arises only at this area. Like labial fistula, fibrosis, scaring, inadequate development pre-maxilla causing incompetent lip etc.
So, our art, technique and concentration for bilateral cleft lip surgery based on premaxillary work. Here is the modification of modified millard’s techniques-
To save 2-3 mm mucous layer of premaxilla, the tissue which is discard by other techniques like Manchester techniques. Handle that tiny tissue; carefully place it in correct position which will give a long-term excellent aesthetic surgical outcome.
In Bilateral cleft lip cases always, the premaxilla is short. We design and dissect and lengthen 1-2 mm and shape the upper lip with normal length.
Mobilize the mucous layer from both sides, close the opening of cleft alveolus and built up a very good sulcus layer.
This will help the normal development of premaxilla and will prevent the post-operative complication of bilateral labial fistula which is very common complication of bilateral cleft surgery.
Description:
This Thesis is Submitted to the Institute of Biological Sciences (IBSc), University of Rajshahi, Rajshahi, Bangladesh for The Degree of Doctor of Philosophy (PhD)