Background: Cleft Lip Dilemma is considered an interesting era for surgeons since ancient human beings. Reviewing History,
Romans considered neonates with the cleft lip as evil spirits. Wey Young-Chi; a Chinese soldier; is the first reported case of
cleft lip surgery in 390 BC. The Daily cleft lip operations or research worldwide is targeting the quality of either guardians' or
surgeons' satisfaction.
Objective: This is a prospective Clinical Case series study to assess both guardians' and surgeon's satisfaction regarding one of
the developing modified Millard techniques known as (White roll vermillion turn-down) flap Introduced by an Indian Plastic
surgeon in 2015
Patients and Methods: 20 infants with complete unilateral cleft lip were enrolled in our study, met our inclusion criteria
underwent primary cheiloplasty with a developing technique published in India by R. K. Mishra, Amit Agarwal with the basic
idea of preserving the white roll continuity. Guardian continuously referenced evaluation regarding esthetic outcomes obtained
with a time frame (, 1 month and 3 months postoperatively. On the other hand, a blind third-party professional assessment was
obtained with two separate Consultants at the same mentioned time frame.
Results: there was a significant increase in patient guardians satisfaction at 3 months compared with 1-month postoperatively.
And regarding the professional assessment of the esthetic outcome either lip or nostril symmetry was quite symmetrical with
the contralateral un-clefted side at 3 months compared with 1-month postoperativly
Conclusion: The White roll vermillion turn-down flap modification is a promising winning horse in primary cleft lip repair,
with very satisfactory esthetic outcomes especially such as scar visibility, lip & nostril symmetry.