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Leslie Bernstein, MD, DDS
University of Iowa Department of Otolaryngology and Maxillofacial Surgery Iowa City 52240

Arch Otolaryngol. 1970;92(2):205.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

REPLY

To the Editor.

—Dr. Millard's critique was not unexpected, and is certainly well taken since I personally have the highest regard for his endless inventiveness and outstanding skill. However, my criticism was concerned with the application of his rotation-advancement procedure only to wide and difficult clefts and in the hands of surgeons less experienced than he.

The "old wives' tale" to which he refers has also been restated by numerous reputable surgeons from different countries. "In general it has been more widely accepted for incomplete clefts" (Millard, D.R.: Transactions of the Fourth International Congress Plastic Surgery. Amsterdam, Excerpta Medica Foundation 1969, p 349). In the Second Hamburg International Symposium: Treatment of Patients With Cleft Lip, Alveolus and Palate (New York, Grune & Stratton Inc, 1966), in which Millard participated, Prof Trauner of Austria stated with regard to Millard's operation on p 32 " . . . a certain shortening of the lip with . . . [Full Text PDF of this Article]

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