Primary Cheiloplasty using the Technique of Millard

Malformations of the craniomaxillofacial complex affect thousands of live births worldwide. The cleft lip and palate are congenital deformities that promote a series of harms to health, since the functions of stomatognathic system are compromised, potentially leading to systemic changes. The technique of Millard, although presents difficulties of implementation by some surgeons-in-training, due to the inherent fragility of the nasolabial structures, on the other hand, has excellent aesthetic results with low rates of surgical complications, in addition to maintaining the suture line in the philtral column, generating this way satisfactory cosmetic results. The main objectives to be achieved with this procedure are: restoring the functioning of the orbicular muscle of mouth (aiming the restoration of normal function of the upper lip), the re-establishment of normal anatomical structures of the lip and the correction of nasal deformity caused by the rift. Therefore, this article aims to present a clinical case of cleft lip/palate in adult, proceeded with its surgical correction by applying the technique of Millard, emphasizing the proper treatment and surgical technique.