The Millard Rotation-Advancement Cleft Lip Repair: 50 Years of Modification

Roussel, Lauren O. B.A.
Myers, Rene P. M.D.
Girotto, John A. M.D., F.A.A.P., F.A.C.S.

Ms. Roussel is medical student and Dr. Myers is Doctor, Division of Plastic and Reconstructive Surgery, University of Rochester Medical Center, Rochester, New York. Dr. Girotto is Chief, Craniofacial Surgery, Helen Devos Children's Hospital, Grand Rapids, Michigan.

Submitted October 2014; Accepted November 2014.

Address correspondence to: John A. Girotto, Chief, Craniofacial Surgery, Helen Devos Children's Hospital, MC 096, 426 Michigan Street NE, Suite 304, Grand Rapids, MI 49503. E-mail [email protected].

Acknowledgments. The authors would like to thank Michele Villa-Castillo for the illustrations in this article.

The Cleft Palate-Craniofacial Journal 52(6):p e188-e195, November 2015. | DOI: 10.1597/14-276

Since its inception in 1955, Millard's rotation-advancement repair has been one of the most popular techniques used in the care of patients with a cleft lip. Over the past half century, Millard's repair has evolved and laid the foundation for many other repair techniques that have followed in its footsteps. This publication compares Millard's rotation-advancement technique to the various repairs used today. The purpose of this article is to lend perspective as to the impact of Millard repair over the past 50 years in the treatment of cleft lip.