Mona M. AbdulHameed, MostafaTalaat Elgengehi, Mamdouh Sayed Ahmed And Mamdouh Ahmed Aboulhassan,

ABSTRACT
Objective: In This Study A Z-plasty Was Just Incorporated In Orbicularis Oris Muscle To Give A Predetermined Length While Maintaining The Curvilinear Incision Of Millard With No Transverse Scar In The Skin, In A Trial To Attain The Most Aesthetic Result Possible Of Having A Repaired Lip With Reasonable Length And The Least Sacrifying Scar At The First Operation. Background: Successful Surgical Repair Of The Unilateral Cleft Lip And Nose Deformity Could Be Defined As Normal Orbicularis Oris Function And Near-perfect Symmetry Of The Repaired Lip And Nose.(1) Millard?s Technique Represents A Significant Advance, Elegantly Overcoming Many Of The Limitations Of Previously Described Methods Of Violating The Philtral Segment With Unnatural Scars. However, There Remain Instances Where The Lip Fails To Maintain Adequate Height, Particularly In Patients With Wide Complete Cleft Lips Since Then, A Number Of Modifications Have Been Developed In Attempt To Improve Millard?s Original Design To Achieve Sufficient Vertical Lip Height. Methods: In This Randomized Clinical Prospective Trial A Group Of Thirty Patients With Nonsyndromic Unilateral Cleft Lip Were Randomized Into Two Equal Groups. Group A: Undergone Modified Millard?s Technique, Group B: Undergone Orbicularis Oris Muscle Z-plasty Modified Millard?s Technique. 6 Months Postoperatively The Patients Were Photographed To Assess The Length Of Philtral Ridge, Scar Width, And Nostril Width And To Ask Parents About Their Satisfaction.

Results: No Significant Difference In Philtrum Length, Scar Width, Nostril Width Or Parents Satisfaction At 6 Months Postoperatively Between The Two Groups.