Successful early neonatal repair of cleft lip within first 8 days of life

被引:34
|
作者
Borsky, Jiri [1 ,2 ]
Veleminska, Jana [3 ]
Jurovcik, Michal [4 ,5 ]
Kozak, Jiri [5 ,6 ]
Hechtova, Dana [5 ,7 ]
Tvrdek, Miroslav [1 ,2 ]
Cerny, Milos [5 ,8 ]
Kabelka, Zdenek [4 ,5 ]
Fajstavr, Jaroslav [4 ,5 ]
Janota, Jan [9 ]
Zach, Jiri [9 ]
Peterkova, Renata [10 ]
Peterka, Miroslav [1 ,2 ,10 ]
机构
[1] Charles Univ Prague, Plast Surg Clin, Fac Hosp Kralovske Vinohrady, Prague 15500 5, Czech Republic
[2] Charles Univ Prague, Fac Med 3, Prague 15500 5, Czech Republic
[3] Charles Univ Prague, Dept Anthropol & Human Genet, Fac Sci, Prague 15500 5, Czech Republic
[4] Charles Univ Prague, ENT Clin, Fac Med 2, Prague 15500 5, Czech Republic
[5] Fac Hosp Motol, Prague, Czech Republic
[6] Charles Univ Prague, Pediat Stomatol Clin, Fac Med 2, Prague 15500 5, Czech Republic
[7] Charles Univ Prague, Anesthesiol & Resuscitat Clin, Fac Med 2, Prague 15500 5, Czech Republic
[8] Charles Univ Prague, Obstet & Gynecol Clin, Dept Newborns, Intens Care Unit,Fac Med 2, Prague 15500 5, Czech Republic
[9] Thomayer Hosp, Dept Neonatol, Prague, Czech Republic
[10] Acad Sci CR, Inst Expt Med, Prague, Czech Republic
关键词
Total cleft lip and palate; Neonate; Malformation; Cheiloplasty; Nose; Scare; 3D evaluation; SEXUAL-DIMORPHISM; PALATE; INFANTS; CHEILOPLASTY; DEFORMITIES; MORPHOLOGY; ALVEOLUS; CHILDREN; SHAPE;
D O I
10.1016/j.ijporl.2012.07.031
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Objective: In the children born with a cleft lip, surgery is the first step in correcting the inborn anomaly. In comparison with usually made 3-month surgery, benefits of the surgery in neonates have been reported: a very good wound healing, feeding facilitation, and good socialization of a child from neonatal age. The aims of the present study were to perform cheiloplasty in early newborns affected by the total cleft lip and palate (CLP) by the technique modified to search for optimum aesthetic result, and to assess the surgery outcome from qualitative and quantitative aspects. Methods: The operations were performed by the same surgeon in 97 neonates 1-8 days old during 2005-2008. The original technique by Tennison was modified and used. Aesthetic outcome of the surgery was evaluated according to scar visibility, and the shape and symmetry of the lip and nose. The effect of cheiloplasty on the formation of the upper jaw segments was evaluated in a sample of unilateral CLP patients using the 3D-finite element scaling analysis (FESA). We compared 3D models of dental plaster casts made prior to lip surgery (in neonates under 8 days of age) and prior to palate surgery (at 12 months of age). Results: Only the children in excellent health state and without an associated inborn defect were allowed to pass the operation. There were no per-operative complications (except the correction of tracheal tube position in several cases). The parents appreciated bringing home a neonate with no visible cleft. This aspect not only facilitated baby feeding, but had important positive psycho-social impact on the whole family. The wound healing and aesthetic effect of the cheiloplasty were very good. The scar was barely visible and lip and nose were symmetric in majority of children. After lip closure, the growth and approximation of jaw segments was observed. This aspect was also associated with incisors development in the anterior portion of the segment including premaxilla. Conclusions: Our results show, that early neonatal lip surgery of CLP is promising technique with very good aesthetic results and important positive psychological impact on the child and its family. (C) 2012 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:1616 / 1626
页数:11
相关论文
共 50 条
  • [21] CLEFT-LIP - MORBIDITY AND MORTALITY IN EARLY REPAIR
    BROMLEY, GS
    ROTHAUS, KO
    GOULIAN, D
    ANNALS OF PLASTIC SURGERY, 1983, 10 (03) : 214 - 217
  • [22] Breastfeeding After Early Repair of Cleft Lip in Newborns With Cleft Lip or Cleft Lip and Palate in a Baby-Friendly Designated Hospital
    Burianova, Iva
    Kulihova, Katarina
    Vitkova, Veronika
    Janota, Jan
    JOURNAL OF HUMAN LACTATION, 2017, 33 (03) : 504 - 508
  • [23] Comparing Outcomes of Traditional Lip Repair Versus Early Cleft Lip Repair on a National Scale
    Stanton, Eloise
    Roohani, Idean
    Shakoori, Pasha
    Fahradyan, Artur
    Urata, Mark M.
    Magee, William P.
    Hammoudeh, Jeffrey A.
    ANNALS OF PLASTIC SURGERY, 2024, 92 (02) : 194 - 197
  • [24] Assessing the Safety of a Novel Neonatal Anesthesia Protocol: A Review of 101 Patients With Early Cleft Lip Repair
    Wlodarczyk, Jordan R.
    Higuchi, Emma C.
    Liu, Alice
    Urata, Marcus M.
    Gabreel, Waleed
    Wolfswinkel, Erik M.
    Lau, Jennifer
    Matar, Marla
    Magee, William P., III
    Urata, Mark M.
    Hammoudeh, Jeffrey A.
    JOURNAL OF CRANIOFACIAL SURGERY, 2021, 32 (08) : 2682 - 2686
  • [25] NEONATAL CLEFT-LIP REPAIR - THE ANESTHESIOLOGISTS POINT-OF-VIEW
    VANBOVEN, MJ
    PENDEVILLE, PE
    VEYCKEMANS, F
    JANVIER, C
    VANDEWALLE, F
    BAYET, B
    VANWIJCK, R
    CLEFT PALATE-CRANIOFACIAL JOURNAL, 1993, 30 (06): : 574 - 578
  • [26] Complications within the first 24 hours following cleft lip repair: A justification for overnight observation.
    Umbdenstock, R
    Hopper, R
    Lewis, C
    Starr, J
    Fisher, D
    Leshem, D
    JOURNAL OF INVESTIGATIVE MEDICINE, 2005, 53 (01) : S164 - S164
  • [27] Superior sternal cleft repair with exposed pericardial membrane—successful management in early neonatal period
    Sengupta G.
    Hossain M.Z.
    Mahapatra S.S.
    Chaudhary S.
    Khan M.S.
    Charles A.
    Indian Journal of Thoracic and Cardiovascular Surgery, 2014, 30 (3) : 223 - 225
  • [28] A successful neonatal repair of congenital aortic aneurysm with cleft sternum
    Hirata, Yasutaka
    Arkovitz, Marc S.
    Marboe, Charles C.
    Mosca, Ralph S.
    JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2009, 137 (03): : 769 - 771
  • [29] PRIMARY CLEFT-LIP REPAIR IN THE NEWBORN AND EARLY CLEFT-PALATE REPAIR AT 16 WEEKS
    DESAI, S
    CHRISTIE, B
    TOOCHUNG, M
    ARCHIVES OF DISEASE IN CHILDHOOD, 1982, 57 (10) : 804 - 804
  • [30] Invited discussion:: Early cleft lip repair in children with unilateral complete cleft lip and palate -: A case against primary alveolar repair
    Cutting, C
    Grayson, B
    ANNALS OF PLASTIC SURGERY, 2005, 54 (06) : 598 - 599