LAUSR

BACKGROUND Several methods for cleft lip repair have been developed over time, indicating no single best one. In our department, the use of a modified rotation advancement technique rather than the rotation-advancement technique in unilateral complete cleft lip repair has increased over the last decade. This study aims to determine which technique gives better outcomes accordingly. MATERIAL AND METHOD This retrospective study was conducted by analyzing the preoperative and postoperative aesthetic nasal and labial anthropometric measurements of the front and basal views of 213 consecutive patient's photographs treated between October 2013- June 2019. 141 participants were treated by using the rotation-advancement technique, and 72 patients by the modified rotation-advancement technique. The inclusion criteria included; non-syndromic unilateral complete cleft lip patients with high-resolution quality photographs, no pre-surgical nasoalveolar molding, no revision in the lip and nose areas, and at least one year of follow-up. RESULT Patients who received the modified rotation-advancement technique had significantly improved Cupid's bow position and orientation (P<0.02, P<0.01 respectively) and enhanced vertical lip height symmetry (P<0.01) while preserving the lip width. The columellar length (P<0.03) and angulation (P<0.045) were also significantly improved, with enhanced nostril inclination in this group (P<0.06). CONCLUSION According to the findings of the current study, modified rotation-advancement technique assisted surgeons in improving the symmetrical leveling of the Cupid's bow and significantly aided in correcting lip height without compromising lip width. Moreover, the modified rotation-advancement technique resulted in better aesthetic nasal outcomes.