The unilateral cleft lip repair

Autor: Susan C. Yanik, Alexis M. Strohl-Bryan, Jeewanjot S. Grewal, Sherard A. Tatum
Rok vydání: 2021
Předmět:
Zdroj: American Journal of Otolaryngology. 42:102908
ISSN: 0196-0709
DOI: 10.1016/j.amjoto.2021.102908
Popis: Objective To determine if there is a benefit of 2-stage cleft lip repair in regard to improving facial symmetry and facilitating definitive lip, nose, and palate repair. Study design Retrospective chart review of patients born with complete, unilateral cleft lip deformity that underwent a two-stage repair described as a stage 1 straight line repair and a stage 2 modified Millard repair, for which a complete set of records, and peri-operative and post-operative photos were available. All cases were performed by a single surgeon. Setting Tertiary care center craniofacial team. Methods Measurements were taken from intraoperative, perioperative, and postoperative images of patients before and after each stage. Ratios were then created comparing the affected size to the unaffected side, and these were averaged between observers. Results A 19% increase in the width of area of the presumptive C flap was obtained between the unrepaired and the post-stage I images. The nostril width of the cleft side was 1.2× the width of the unaffected side, demonstrating a 140% decrease in nostril width at the completion of stage II. The cleft side nostril width was maintained slightly larger than the noncleft side as desired. Symmetry of the upper lip length was achieved, as the length of the cleft side lateral lip after stage II was 92% of the unaffected side. Conclusion We believe this study provides evidence for our observations that a two-stage repair can be performed with functionally and aesthetically pleasing outcomes as an alternative to presurgical nasoalveolar molding.
Databáze: OpenAIRE
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