Evaluation of Meshra’s Technique in Unilateral Cleft Lip Deformity


  • Tawfeeq Waleed Tawfeeq
  • Afraa Qasim Al-Zerkani
  • Thaer Kareem Alwan




White roll, Millard’s methods, vermillion, cleft lip, cupid bow, Philletrum


Background: White roll vermillion turn down flap is a modification on Millard’s technique of rotation –
advancement repair for unilateral primary cleft lip deformity.
Aim of Study: This research to evaluate a new modification on Millard’s technique of primary unilateral
Patients and Methods: A prospective study was done and involved 20 patients were surgically treated by
Meshra’s technique of white roll vermillion turn down flap at Al-Shaheed Ghazii Alharriri and Al-Wasty
hospital between April 2015 to April 2017. 12 male versus 8 female presented to us with unilateral cleft
lip there ages were ranging between 3 months to 30 months, these patients surgically treated by white roll
vermillion turn down flap.
Results: A prospective study was involved of 20 cases of primary cleft lip repair with this technique, we
have achieved 17 cases with a good symmetry and peaking of cupids bow with no vermillion notching of
the lips and without major complications.
Conclusion: White roll vermillion turn down flap gave us a good look of the cleft patient and satisfactory
for his family. It’s applicable and takes same time for Millard’s technique.

Author Biographies

Tawfeeq Waleed Tawfeeq

F.I.B.M.S (Fellow of Iraqi Board Member of Specialization) [Plastics], Consultant Plastic Surgeon, Medical City
Institute, Baghdad-Iraq,

Afraa Qasim Al-Zerkani

M.B.Ch.B. (Medicine Bachelor Churchery Bachelor), Diploma of Anesthesia, Director of
Pediatric anesthesia Dept., Children Welfare Teaching Hospital, Medical City Institute, Baghdad-Iraq,

Thaer Kareem Alwan

M.B.Ch.B., C.A.B.P (Certificate of Arab Board of Plastics), Medical City Institute, Burn Unit Center, Baghdad-




How to Cite

Tawfeeq Waleed Tawfeeq, Afraa Qasim Al-Zerkani, & Thaer Kareem Alwan. (2021). Evaluation of Meshra’s Technique in Unilateral Cleft Lip Deformity. Medico Legal Update, 21(4), 356–362. https://doi.org/10.37506/mlu.v21i4.3157

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