Técnicas cirúrgicas correntes para fissuras lábio-palatinas, em Minas Gerais, Brasil / Current surgical techniques for cleft lip-palate in Minas Gerais, Brazil

Fissuras do lábio e/ou palato (FL/P) representam as anomalias congênitas crânio-facial mais comuns. OBJETIVO: Avaliar as técnicas cirúrgicas correntes na reabilitação de FL/P em um Serviço de referência no Estado de Minas Gerais. Material e métodos: Realizou-se estudo retrospectivo, 2002 a 2007, avaliando 109 portadores de FL/P não sindrômicas que tiveram o tratamento concluído. As dimensões de análise (identificação pessoal, classificação das FL/P e tratamento cirúrgico realizado) foram obtidas a partir dos prontuários, sendo posteriormente construído banco de dados e as análises estatísticas realizadas pelo programa SPSS 13.0. Seguiu-se análise descritiva dos procedimentos cirúrgicos em função do tipo de FL/P encontrada. Resultados: Entre os 109 pacientes, 65,1 por cento foram do gênero masculino e 34,8 por cento do feminino. Verificou-se que 45 por cento dos pacientes apresentaram fissuras lábio-palatinas, 37,6 por cento fissuras labiais e 17,4 por cento fissuras palatinas. As técnicas correntes empregadas foram as de Millard e Spina para as queiloplastias, McComb para as rinoplastias e as de Veau e Van Langenbeeck para as palatoplastias. Conclusão: Este estudo é o primeiro a abordar reabilitação em FL/P em Minas Gerais. Nas FL/P unilaterais houve a associação das técnicas de McComb, Veau e Millard, respectivamente, para rinoplastia, palatoplastia e queiloplastia, em 76,9 por cento dos pacientes.

Cleft lip and palate (CL/P) are the most common congenital anomalies of the craniofacial region. AIM: to evaluate the surgical techniques used in CL/P treatment in a craniofacial deformities ward, in Minas Gerais. Materials and methods: In this retrospective study, carried out between 2002 and 2007, we studied 109 individuals with non-syndromic CL/P submitted to treatment. The aspects analyzed (personal identification, classification of CL/P and surgical treatment performed) were obtained from patient charts, and then we built a database and ran statistical analyses through the SPSS 13.0 software. Followed by descriptive analysis of the surgical procedures depending on the type of CL/P found. Results: Among the 109 patients, 65.1 percent were males and 34.8 percent females. We found that 45 percent of patients had cleft lip and palate, 37.6 percent cleft lip only and 17.4 percent cleft palate only. The surgical techniques employed were predominantly those from Millard and Spina for cheiloplasty, McComb for rhinoplasty and, Veau and Van Langenbeeck for palatoplasty. Conclusions: This study is the first to address treatment procedures for individuals with CL/P in the state of Minas Gerais. For unilateral CL/P we predominantly used the association of McComb, Veau and Millard techniques, respectively, for rhinoplasty, palatoplasty and cheiloplasty, in 76.9 percent of the patients.

Current surgical techniques for cleft lip-palate in Minas Gerais, Brazil.

UNLABELLED: Cleft lip and palate (CL/P) are the most common congenital anomalies of the craniofacial region. AIM: to evaluate the surgical techniques used in CL/P treatment in a craniofacial deformities ward, in Minas Gerais. MATERIALS AND METHODS: In this retrospective study, carried out between 2002 and 2007, we studied 109 individuals with non-syndromic CL/P submitted to treatment. The aspects analyzed (personal identification, classification of CL/P and surgical treatment performed) were obtained from patient charts, and then we built a database and ran statistical analyses through the SPSS 13.0 software. Followed by descriptive analysis of the surgical procedures depending on the type of CL/P found. RESULTS: Among the 109 patients, 65.1% were males and 34.8% females. We found that 45% of patients had cleft lip and palate, 37.6% cleft lip only and 17.4% cleft palate only. The surgical techniques employed were predominantly those from Millard and Spina for cheiloplasty, McComb for rhinoplasty and, Veau and Van Langenbeeck for palatoplasty. CONCLUSIONS: This study is the first to address treatment procedures for individuals with CL/P in the state of Minas Gerais. For unilateral CL/P we predominantly used the association of McComb, Veau and Millard techniques, respectively, for rhinoplasty, palatoplasty and cheiloplasty, in 76.9% of the patients.