Repair of Asymmetric Bilateral Cleft lip: 1 Stage or 2 Stage.
Cleft Palate Craniofac J
; 59(4): 436-441, 2022 Apr.
Article
em En
| MEDLINE
| ID: mdl-34018417
ABSTRACT
OBJECTIVE:
To verify the advantages and indications of 1-stage and 2-stage repair for asymmetric bilateral cleft lip (BCL).DESIGN:
Retrospective study.SETTING:
From January 2004 to December 2016 in our department. PATIENTS Patients with BCL. MAIN OUTCOME MEASURE(S) Over 6 months after the operation, the surgery outcomes were evaluated and graded by 2 experienced surgeons.RESULTS:
The result of surgery was evaluated using the scoring method of Mortier et al and Anastassov and Chipkov. Among 133 patients with asymmetric BCL, 61 (45.9%) had 1-stage repair and 72 (54.1%) had 2-stage repair. Sixty-eight (51.1%) patients had complete-incomplete cleft lip (CL), and those who underwent 1-stage repair showed a trend of better outcome (P = .028). Fifty (37.6%) patients with incomplete-microform CL showed no significant difference between the outcomes of 2 surgery plans (P = .253). In 15 (11.3%) patients with complete-microform CL, only one had 1-stage repair with a score of 8.5. The other 14 patients with 2-stage repair were scored 3.68 ± 1.28. Two-stage repair was preferable when the deformity degree was very different on 2 sides, as it could reduce unnecessary scar tissue and extend the nasal columella. One-stage repair could help to achieve the anatomical reduction of the orbicularis oris and a better contour of the vermilion tubercle.CONCLUSION:
One-stage repair is recommended for patients with complete-incomplete CL and incomplete-microform CL. Two-stage repair for patients with complete-microform CL is preferred in our center, but more studies are required to support this conclusion.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Fenda Labial
/
Procedimentos de Cirurgia Plástica
Tipo de estudo:
Observational_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article