The modification of rotation - advancement flap made in 1950

Knežević, Predrag and Vuletić, Marko and Blivajs, Igor and Dediol, Emil and Macan, Darko and Virag, Mišo (2017) The modification of rotation - advancement flap made in 1950. Acta Stomatologica Croatica, 51 (1). pp. 60-64. ISSN 0001-7019

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Abstract

The early techniques of cleft lip repair involved the straight-line technique, the triangular flap technique or some kind of geometric line (triangular, quadrangular closure). A turning point in cleft lip surgery was in 1955 when doctor. Millard presented his method: the rotation-advancement technique or flap, at the First International Congress of Plastic Surgery in Stockholm. Today, the technique, with or without some modifications, is used by more than 85% of cleft surgeons around the world. We are presenting a patient with complete unilateral cleft lip and palate who underwent surgery sixty-five years ago. The scar on his lip was similar to rotation advancement line. Cheiloplasty was performed by Professor Šercer in 1950, five years before Millard's publication. Professor Ante Šercer was an internationally recognized Croatian scholar in the area of ear, nose and throat diseases. He also gave a significant contribution to surgical management of velopharyngeal insufficiency and plastic surgery of the nose and ear.

Abstract in Croatian

Rane tehnike zatvaranja rascjepa usne uključuju linearnu ili druge oblike geometrijskih linija (trokutasta ili četvrtasta zatvaranja). Prekretnica u operaciji rascjepa usana počela je 1955. godine kada je, na Prvom međunarodnom kongresu za plastičnu kirurgiju u Stockholmu, dr. Millard predstavio svoju metodu – klizno-rotirajuću tehniku ili režanj. Danas tu tehniku diljem svijeta, s modifikacijama ili bez njih, primjenjuje više od 85 posto kirurga za rascjepe. Predstavljamo pacijenta s potpunim jednostranim rascjepom usne i nepca koji je operiran prije šezdeset i pet godina. Ožiljak na usni sličan je klizno-rotirajućoj liniji. Plastiku usne obavio je profesor Šercer 1950., pet godina prije Millardove publikacije. Profesor Ante Šercer međunarodno je poznat otorinolaringolog iz Hrvatske. Ističe se njegov značajan doprinos operaciji velofaringealne insuficijencije i plastičnoj kirurgiji nosa i uha.

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