One-Stage Cleft Lip and Palate Repair in an Older Population
| Autor: | Onur Akman, Emre Gönenç Baygöl, Ethem Güneren, Reşit Burak Kayan, Haci Omer Sagir, Mustafa Aykut Ozpur, Serap Arslan, İsmail Melih Kuzu, Halil Ibrahim Canter, Kemalettin Yildiz |
|---|---|
| Přispěvatelé: | AKMAN, ONUR |
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty animal structures Adolescent Cleft Lip Operative Time education Surgical Flaps Older population Young Adult Palate repair Postoperative results Deformity medicine Humans Child Developing Countries health care economics and organizations Wound Healing Palate business.industry Reproducibility of Results One stage General Medicine Perioperative Plastic Surgery Procedures Lip Guneren E. Canter H. I. Yildiz K. KAYAN R. B. OZPUR M. A. BAYGOL E. G. Sagir H. O. KUZU I. M. AKMAN O. ARSLAN S. -One-Stage Cleft Lip and Palate Repair in an Older Population- JOURNAL OF CRANIOFACIAL SURGERY cilt.26 2015 Surgery Cleft Palate stomatognathic diseases Treatment Outcome Otorhinolaryngology Early results Child Preschool Feasibility Studies Female medicine.symptom business Scientific study |
| Zdroj: | Journal of Craniofacial Surgery. 26:e426-e430 |
| ISSN: | 1049-2275 |
| Popis: | BACKGROUND In underdeveloped countries one-stage definitive repair of cleft lip and palate is considered for late-presenting patients. MATERIALS AND METHODS A total of 25 patients with unoperated cleft lip and palate more than 2 years of age were enrolled in this study for one-stage simultaneous repair of cleft lip and palate. According to Veau-Wardill-Kilner push-back technique, 2 flap palatoplasties were performed for palatal repairs; all of the lips were repaired with the Millard II rotation-advancement technique. RESULTS The authors experienced no perioperative or postoperative life-threatening complications. With respect to the registered operation periods, longer times were required to perform these double operations, but this elongation is shorter than the sum of the periods if the 2 operations had been performed separately. Although the authors were unable to evaluate the late postoperative results because the authors could not follow-up the patients after they were discharged the day after surgery, the early results related to the success of the operation without any surgical complication were prone to meet the parents' and patients' expectations. DISCUSSION The authors presented their experiences with many volunteer cleft lip and palate trips to third world countries; however the structure of this article is not a new hypothesis and data based to support a scientific study, but observations are objective to get a conclusion. To perform one-stage definitive repair of the cleft lip and palate in late-presented patients was the reality that they had only 1 chance to undergo these operations. According to the terms and conditions of this challenging operation, one-stage simultaneous repair of cleft lip and palate is a more demanding and time-consuming procedure than is isolated cleft lip repair or cleft palate repair. Although technically challenging, single-stage repair of the whole deformity in late-presenting patients is a feasible, reliable, successful, and safe procedure in authors' experience. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|