RESUMEN
This study presents a statistical review of corrective surgery for cleft palate, based on cases treated at the maxillo-facial surgery units of the Pediatrics Hospital of the Centro Médico Nacional and at Centro Médico La Raza of the National Institute of Social Security of Mexico, over a five-year period. Interdisciplinary management as performed at the Cleft-Palate Clinic, in an integrated approach involving specialists in maxillo-facial surgery, maxillar orthopedics, genetics, social work and mental hygiene, pursuing to reestablish the stomatological and psychological functions of children afflicted by cleft palate, is amply described. The frequency and classification of the various techniques practiced in that service are described, as well as surgical statistics for 188 patients, which include a total of 256 palate surgeries performed from March 1984 to March 1989, applying three different techniques and proposing a combination of them in a single surgical time, in order to avoid complementary surgery.
Asunto(s)
Fisura del Paladar/cirugía , Niño , Preescolar , Labio Leporino/epidemiología , Fisura del Paladar/epidemiología , Femenino , Humanos , Masculino , Grupo de Atención al PacienteRESUMEN
This paper presents a statistical review of corrective surgery for cleft lip, as performed at the Maxillofacial Surgery wards of the Pediatrics Hospital, National Medical Center, and the General Hospital, La Raza Medical Center, Institute of Social Security of Mexico. Frequency of occurrence, as well as most commonly used classifications, are described and correlated with results reaped from our study, which covered from March 1984 to March 1989, with surgeries performed on 116 patients suffering from unilateral and bilateral cleft lip; 120 plastic reconstructive maneuvers were performed by the Millard advance rotation technique or the modified Tennison Randall technique with triangular flaps, with Le Mesurier's square flaps approach for unilateral fissures and the Verdeja and Cronin techniques for bilateral clefts, thus defining criteria for treating children with cleft lip and cleft palate.