COMPLETE UNILATERAL CLEFT LIP SURGERY USING MODIFIED ROTATION-ADVANCEMENT FLAP TO ENHANCE AESTHETIC APPEARANCE IN RSPAL DR. RAMELAN HOSPITAL: A CASE SERIES

ABSTRACT Introduction: Unilateral cleft lip is a common congenital anomaly that impacts both the appearance and function of the upper lip and nose. Surgical cleft lip repair aims to return the affected structures to their normal anatomy and functionality. In recent years, several advances have been made in cleft lip repair, including new surgical techniques and approaches. In this current study, authors have adapted Millard's rotation-advancement flap technique and further modified it throughout his 14 years of experience. Case Presentation: This case series included 4 patients at RSPAL Dr Ramelan Hospital between September 2023 and February 2024, focusing only on complete unilateral cleft lip repair using the modified rotation-advancement flap. The surgery techniques and outcomes of the surgeries, including aesthetic improvements and functional outcomes, are discussed. This case series highlights the effectiveness of the modified techniques in achieving satisfactory results for patients with complete unilateral cleft lips, contributing to their overall well-being and quality of life. Conclusion: The modified rotation-advancement flap represents a valuable approach for complete unilateral cleft lip repair, providing satisfactory outcomes in aesthetics and function. Further research, long-term follow-up studies, and larger sample sizes are needed to validate its effectiveness and refine surgical techniques. Keywords: Cleft lip surgery, complete unilateral cleft lip, modified rotation-advancement flap.