{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:25:44Z","timestamp":1787765144547,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,7]]},"abstract":"Abstract<\/jats:title>\n \n Introduction:<\/jats:title>\n In spite of several techniques, Millard\u2019s approach for the correction of cleft lip still is widely used. Although versatile, it has certain drawbacks including scar contraction, short lip and notching. A modification of the \u2018C\u2019 arm helps to address this drawback. The purpose of this study was to describe the qualitative and quantitative outcomes of the author\u2019s modification of Millard\u2019s C flap.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n Archival photographic records of cleft lip repairs and post-operative photos of cases treated by author were screened. Anthropometric measurements of the height and width of the lip, the height of the vermilion and the width of the alar base were considered. The outcome was quantified by comparing the ratio of each feature between the cleft and normal sides. The quality of cleft lip repair was assessed using the Steffensen criteria. Appropriate statistical tests were performed.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n In all, 233 cases with a mean age of 4.46 \u00b1 0.91 years and 106 (45.5%) males formed the study group. The mean lip height ratio was 0.936 \u00b1 0.04, the mean lip width ratio was 0.938 \u00b1 0.037, the mean vermillion height ratio was 0.9433 \u00b1 0.35 while the mean alar base width ratio was 0.932 \u00b1 0.35. The physical parameter ratios\u2019 mean difference between the normal side and the cleft side was below 0.06 mm.<\/jats:p>\n <\/jats:sec>\n \n Discussion:<\/jats:title>\n The mechanism behind the drawback of the classical Millard\u2019s technique is discussed and compared with present modification. The authors\u2019 modification shows that modified Millard\u2019s technique produces better aesthetic outcomes.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ams.ams_57_23","type":"journal-article","created":{"date-parts":[[2024,1,17]],"date-time":"2024-01-17T08:04:46Z","timestamp":1705478686000},"page":"205-210","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Modified Placement of C-flap in Unilateral Cleft Lip Repair to Avoid Alar Base Scar - A Retrospective Study"],"prefix":"10.4103","volume":"13","author":[{"given":"S. M.","family":"Balaji","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Balaji Dental and Craniofacial Hospital, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Preetha","family":"Balaji","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Balaji Dental and Craniofacial Hospital, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,1,15]]},"reference":[{"key":"R1-20240828","doi-asserted-by":"crossref","first-page":"2068","DOI":"10.1097\/SCS.0000000000007635","article-title":"The evolution of unilateral cleft lip repair","volume":"32","author":"Raghuram","year":"2021","journal-title":"J Craniofac Surg"},{"key":"R2-20240828","first-page":"181","article-title":"Comparison of rotation-advancement and straight-line methods for repairing of unilateral cleft lip (a randomized controlled clinical trial)","volume":"47","author":"El Prince","year":"2022","journal-title":"Alex Dent J"},{"key":"R3-20240828","doi-asserted-by":"crossref","first-page":"238e","DOI":"10.1097\/PRS.0000000000005847","article-title":"Comparison of the fisher anatomical subunit and modified Millard rotation-advancement cleft lip repairs","volume":"144","author":"Patel","year":"2019","journal-title":"Plast Reconstr Surg"},{"key":"R4-20240828","doi-asserted-by":"crossref","first-page":"106e","DOI":"10.1097\/PRS.0000000000006934","article-title":"Comparison of the fisher anatomical subunit and modified Millard rotation-advancement cleft lip repairs","volume":"146","author":"Sadri","year":"2020","journal-title":"Plast Reconstr Surg"},{"key":"R5-20240828","doi-asserted-by":"crossref","first-page":"509","DOI":"10.17219\/dmp\/145065","article-title":"Prevalence of Simonart's band in cleft children at a cleft center in Indonesia:A nine-year retrospective study","volume":"59","author":"Ariawan","year":"2022","journal-title":"Dent Med Probl"},{"key":"R6-20240828","doi-asserted-by":"crossref","first-page":"726","DOI":"10.1597\/15-319","article-title":"Simonart's band:Its effect on cleft classification and recommendations for standardized nomenclature","volume":"54","author":"Naran","year":"2017","journal-title":"Cleft Palate Craniofac J"},{"key":"R7-20240828","doi-asserted-by":"crossref","first-page":"1338","DOI":"10.1016\/j.ijom.2017.05.022","article-title":"Anthropometric and aesthetic outcomes for the nasolabial region in 101 consecutive African children with unilateral cleft lip one year after repair using the anatomical subunit approximation technique","volume":"46","author":"Mbuyi-Musanzayi","year":"2017","journal-title":"Int J Oral Maxillofac Surg"},{"key":"R8-20240828","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1055\/s-0030-1254377","article-title":"Cleft lip repair:Technical refinements for the wide cleft","volume":"3","author":"Meyer","year":"2010","journal-title":"Craniomaxillofac Trauma Reconstr"},{"key":"R9-20240828","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1186\/s40902-017-0109-1","article-title":"Modified fisher method for unilateral cleft lip-report of cases","volume":"39","author":"Kim","year":"2017","journal-title":"Maxillofac Plast Reconstr Surg"},{"key":"R11-20240828","doi-asserted-by":"crossref","first-page":"1081","DOI":"10.1097\/PRS.0000000000009636","article-title":"Discussion:Early cleft lip repair:Demonstrating efficacy in the first 100 patients","volume":"150","author":"Carlson","year":"2022","journal-title":"Plast Reconstr Surg"},{"key":"R12-20240828","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1097\/PRS.0000000000009634","article-title":"Early cleft lip repair:Demonstrating efficacy in the first 100 patients","volume":"150","author":"Wlodarczyk","year":"2022","journal-title":"Plast Reconstr Surg"}],"container-title":["Annals of Maxillofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ams.ams_57_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:03:37Z","timestamp":1787763817000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ams.ams_57_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/ams.ams_57_23","relation":{},"ISSN":["2231-0746","2249-3816"],"issn-type":[{"value":"2231-0746","type":"print"},{"value":"2249-3816","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7]]},"assertion":[{"value":"2023-03-27","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-11","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}