Millard criteria (Rule of 10) is a set of rules, which is to be fulfilled for undertaking elective surgery for children, and mostly used for reference in cleft lip surgery. The criteria includes these prerequisites: [1][2]

As per the rule of 10, a cleft lip can be repaired in infants at 10 weeks of age with hemoglobin levels of 10 gm%, an average weight of 10 pounds, and a total count of leucocytes of 10,000 cells/cc. This was based on the high perioperative mortality that was evidenced in that era with minimal perioperative facilities.

May 1, 2023 · Background: Cleft lip is a ubiquitous maxillofacial birth defect encountered globally. Repair of this anomaly has been well established in the literature. Historically, studies have recommended initiating surgical repair by the "Rule of 10s."

Oct 19, 2020 · The rule of ten is used as a reference to determine which patients are fit for surgery, especially for cleft lip patients. The rule of ten include parameters at 10 such as the weight limit value of 10 lbs, hemoglobin 10 g / dL and white blood cell count <10,000 mm 3 and the optimal time for surgery, over ten weeks old.

Jan 30, 2023 · A good rule of thumb in deciding the age at which is it safe to perform primary cleft lip repair is the "Rule of 10s.” If the infant is ten weeks old, 10 pounds, and hemoglobin has reached 10mg/dL, surgical repair should be safe if no other comorbidities preclude it.

Although the timing of cleft lip repair is contingent on a number of factors, the "rule of 10s" remains a frequently quoted safety benchmark. Initially reported by Wilhelmsen and Musgrave in 1966 and modified by Millard in 1976, this rule referred to performing surgery once patients had reached cutoffs in weight, hemoglobin, and age/leukocyte ...

Although not absolute, a general and easy rule for timing of cleft lip repair is a rule of 10s: at least 10 pounds and at least 10 weeks of age. The choice of procedure is up to the plastic surgeon and related to the clinical presentation.

Cleft lip represents one of the most common birth defects in the world. Although the timing of cleft lip repair is contingent on a number of factors, the “rule of 10s” remains a frequently quoted safety benchmark.

As per the rule of 10, a cleft lip can be repaired in infants at 10 weeks of age with hemoglobin levels of 10 gm%, an average weight of 10 pounds, and a total count of leucocytes of 10,000 cells/cc.

Feb 8, 2024 · Objective: To evaluate the relevance of the "rule of 10" as a deciding factor preoperatively for patients undergoing cleft lip repair in the Indian sub-continent. Design: A questionnaire survey was conducted.