Early Cleft Lip Repair: Demonstrating Efficacy in the First 100 Patients

被引:10
|
作者
Wlodarczyk, Jordan R.
Wolfswinkel, Erik M.
Liu, Alice
Fahradyan, Artur
Higuchi, Emma
Goel, Pedram
Urata, Mark M.
Magee, William P.
Hammoudeh, Jeffrey A. [1 ]
机构
[1] Childrens Hosp Los Angeles, Div Plast & Maxillofacial Surg, 4650 West Sunset Blvd,Mailstop 96, Los Angeles, CA 90027 USA
关键词
ANESTHETIC AGENTS; DEXMEDETOMIDINE; INFANTS;
D O I
10.1097/PRS.0000000000009634
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Cleft lip and/or palate affects approximately one in 700 live births. Optimal timing for repair of cleft lip has yet to be objectively validated. Earlier repair takes advantage of a high degree of plasticity within the nasal cartilage and maxilla. The authors present patients enrolled in an early cleft lip repair protocol facilitating effective repair of the cleft lip and nostril. Methods: American Society of Anesthesiologists class I to II patients with unilateral cleft lip and/or palate undergoing repair before 3 months of age were enrolled over 5 years. Perioperative data, surgical and anesthetic complications, preoperative and postoperative nostril breadth, nostril width, nasal angle, lip length, frontal nasal breadth, and commissure length measured as ratios between the cleft and noncleft sides were abstracted. Early cleft lip repair and nasoalveolar molding patients were matched for cleft lip severity using the cleft width ratios and compared. Results: The surgical and anesthetic complication rate for 100 early cleft lip repair patients was 2 percent. Operative and anesthetic times were 123 +/- 37 minutes and 177 +/- 34 minutes, respectively. Hospital length of stay was 1 +/- 0 day. Age at repair between early cleft lip repair and nasoalveolar molding was 33 +/- 15 days and 118 +/- 33 days, respectively. After early cleft lip repair, preoperative to postoperative distance from symmetry for all anthropomorphic measurements improved (p < 0.001). Comparing severity-matched early cleft lip repair to nasoalveolar molding patients, similar improvements were observed, suggesting equivalent results (p > 0.05). Conclusion: Early cleft lip repair provides an efficacious method for correcting the cleft lip and nasal deformity that simulates nasoalveolar molding.
引用
收藏
页码:1073 / 1080
页数:8
相关论文
共 50 条
  • [1] Discussion: Early Cleft Lip Repair: Demonstrating Efficacy in the First 100 Patients
    Carlson, Anna R.
    Taylor, Jesse A.
    PLASTIC AND RECONSTRUCTIVE SURGERY, 2022, 150 (05) : 1081 - 1082
  • [2] Early Cleft Lip Repair: An Update and Review of the First 200 Patients
    Jolibois, Marah
    Roohani, Idean
    Moshal, Tayla
    Lasky, Sasha
    Urata, Mark M.
    Magee, William P., III
    Hammoudeh, Jeffrey
    JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2024, 239 (05) : S381 - S382
  • [3] Early repair for infants with cleft lip and nose
    Mcheik, Jiad N.
    Sfalli, Pierre
    Bondonny, Jean M.
    Levard, Guillaume
    INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2006, 70 (10) : 1785 - 1790
  • [4] Successful early neonatal repair of cleft lip within first 8 days of life
    Borsky, Jiri
    Veleminska, Jana
    Jurovcik, Michal
    Kozak, Jiri
    Hechtova, Dana
    Tvrdek, Miroslav
    Cerny, Milos
    Kabelka, Zdenek
    Fajstavr, Jaroslav
    Janota, Jan
    Zach, Jiri
    Peterkova, Renata
    Peterka, Miroslav
    INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2012, 76 (11) : 1616 - 1626
  • [5] Early cleft lip repair in children with unilateral complete cleft lip and palate -: A case against primary alveolar repair
    Renkielska, A
    Wojtaszek-Slominska, A
    Dobke, M
    ANNALS OF PLASTIC SURGERY, 2005, 54 (06) : 595 - 597
  • [6] SIMULTANEOUS REPAIR OF CLEFT LIP AND PALATE IN EARLY INFANCY
    KAPLAN, I
    DRESNER, J
    GORODISCHER, C
    RADIN, L
    BRITISH JOURNAL OF PLASTIC SURGERY, 1974, 27 (02): : 134 - 138
  • [7] CLEFT-LIP - MORBIDITY AND MORTALITY IN EARLY REPAIR
    BROMLEY, GS
    ROTHAUS, KO
    GOULIAN, D
    ANNALS OF PLASTIC SURGERY, 1983, 10 (03) : 214 - 217
  • [8] CLEFT LIP REPAIR
    STUCKEY, JG
    SOUTHERN MEDICAL JOURNAL, 1966, 59 (07) : 832 - &
  • [9] Cleft lip repair
    不详
    AORN JOURNAL, 2019, 109 (05) : P14 - P16
  • [10] REPAIR OF CLEFT LIP
    不详
    BRITISH MEDICAL JOURNAL, 1948, 1 (4543): : 237 - 237