Introduction: cleft is a universal and non-standardized defect. To overcome stigmatization; different surgical techniques and modifications have been developed.
Objectives: comparing the effectiveness of rotation-advancement versus straight-line approaches in repairing unilateral cleft lip.
Methodology: Twelve patients with unilateral cleft lip were participated. These patients were equally divided into two groups; each group was operated on with Millard or Fisher incisions. Caliper measurements of the lip and nose were recorded preoperatively. The analysis was based on a quantitative and qualitative comparison of the cleft side versus the non-cleft side for 3 outcomes were used to assess the aesthetic difference between the two incisions; These outcomes were measured postoperatively at 6 months. Chi-square; Mann Whitney test was used for statistical comparison of outcomes.
The results: the nasal asymmetry improved in both groups with a better result in cases operated on with Fisher; which was statistically significant at (2.201* (0.028*). The medial lip height is increased in both groups, but was not statistically significant; the difference was statistically significant for the increase of lateral lip height of both groups at a P-value of