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Unilateral cleft lip surgery using Modified Millard’s technique

Baby girl from Mathura

This is a 3-month old baby girl from Mathura born with unilateral cleft lip. She also had a hole in the roof of the mouth involving the upper jaw (hard and soft palate). The patient’s mother was a known case of cleft lip and palate. There was also a familial history of clefts running through the generations.

Unilateral cleft lip

Cleft lip is a congenital split in the upper lip on one side often associated with cleft palate. Babies with cleft lip usually have difficulty in feeding. They may develop ear infections which may lead to hearing loss.

Cleft lip surgeon in India

Though aware of the condition the parents were very depressed. They felt that the lip and nose deformity might affect her future. The parents were planning to do the cleft lip surgery in India. They were searching far and wide for the best cleft lip surgeon in India. A local physician referred them to our hospital. Dr. SM Balaji one of the leading cleft lip and palate surgeon in India examined the patient. He planned to perform surgical repair of cleft lip at 3 months of age.

Primary cleft lip repair

Cleft lip and palate surgeon Dr. S.M. Balaji planned to perform primary lip repair at the age of 3 months. Unilateral cleft lip surgery done using Modified Millard’s technique under general anesthesia. The cleft and plastic surgeons usually prefer this surgical procedure for the children with cleft.

Surgical Results:

The result of the surgery was as expected. She looked like any other baby girl of her age with minimal to no scar. The parents were very pleased with the results. Cleft palate repair (cleft palate surgery) will be done at about 9 months of age. Alveolar Cleft defect reconstruction surgery with bone grafts will be planned at 3.5 years of age.

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