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[Long-term morphologic results of a 32 successive patients series presenting unilateral complete cleft lip and palate with surgery at early age].
Ann Chir Plast Esthet. 2009 Feb; 54(1):7-15.AC

Abstract

STUDY OBJECTIVE

The aim of this retrospective study is to describe and evaluate the long term morphologic results of patients who present unilateral complete cleft lip and palate.

PATIENTS AND METHODS

Thirty-two patients with non syndromic unilateral complete cleft lip and palate were operated early by the same surgeon, at the mean age of 70,4 days old, with two operating procedures. The first group was operated of cheiloplasty with the Millard method during the neonatal period, associated to the closure of the palate in the same time. The second group was operated with a modified Millard method during the neonatal period associated to a closing of the palate by the Wardill method at the age of ten months old. The criteria of evaluation were the anatomic remaining abnormalities after surgery of nose, lips, primary and secondary palate (back of 17 years).

RESULTS

Our results show that Millard method and derived are taken as a whole effective, even if the number of secondary surgery and supplementary adjustments was sizeable (87%). The postoperative abnormalities concerning red lip (discontinuity, mucous excess) were frequent (53%), but easily correctable. The secondary surgeries were mainly for minor touch up of lip (46%), second time palate surgeries (53%), and rhinoplasties (40%).

CONCLUSION

Progress in anesthesia and reanimation allowed us to assure an early management of clefts. The absence of incorrigible after-effects by a secondary surgery of the first-operated patients encouraged the team to continue in this way.

Authors+Show Affiliations

Service de chirurgie plastique esthétique et reconstructrice de Lille, hôpital Roger-Salengro, rue Emile-Laine, 59000 Lille, France.No affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

fre

PubMed ID

18938021

Citation

Le Pendeven, R, et al. "[Long-term Morphologic Results of a 32 Successive Patients Series Presenting Unilateral Complete Cleft Lip and Palate With Surgery at Early Age]." Annales De Chirurgie Plastique Et Esthetique, vol. 54, no. 1, 2009, pp. 7-15.
Le Pendeven R, Martinot-Duquennoy V, Pellerin P. [Long-term morphologic results of a 32 successive patients series presenting unilateral complete cleft lip and palate with surgery at early age]. Ann Chir Plast Esthet. 2009;54(1):7-15.
Le Pendeven, R., Martinot-Duquennoy, V., & Pellerin, P. (2009). [Long-term morphologic results of a 32 successive patients series presenting unilateral complete cleft lip and palate with surgery at early age]. Annales De Chirurgie Plastique Et Esthetique, 54(1), 7-15. https://doi.org/10.1016/j.anplas.2008.05.003
Le Pendeven R, Martinot-Duquennoy V, Pellerin P. [Long-term Morphologic Results of a 32 Successive Patients Series Presenting Unilateral Complete Cleft Lip and Palate With Surgery at Early Age]. Ann Chir Plast Esthet. 2009;54(1):7-15. PubMed PMID: 18938021.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Long-term morphologic results of a 32 successive patients series presenting unilateral complete cleft lip and palate with surgery at early age]. AU - Le Pendeven,R, AU - Martinot-Duquennoy,V, AU - Pellerin,P, Y1 - 2008/10/19/ PY - 2008/01/07/received PY - 2008/05/15/accepted PY - 2008/10/22/pubmed PY - 2009/5/30/medline PY - 2008/10/22/entrez SP - 7 EP - 15 JF - Annales de chirurgie plastique et esthetique JO - Ann Chir Plast Esthet VL - 54 IS - 1 N2 - STUDY OBJECTIVE: The aim of this retrospective study is to describe and evaluate the long term morphologic results of patients who present unilateral complete cleft lip and palate. PATIENTS AND METHODS: Thirty-two patients with non syndromic unilateral complete cleft lip and palate were operated early by the same surgeon, at the mean age of 70,4 days old, with two operating procedures. The first group was operated of cheiloplasty with the Millard method during the neonatal period, associated to the closure of the palate in the same time. The second group was operated with a modified Millard method during the neonatal period associated to a closing of the palate by the Wardill method at the age of ten months old. The criteria of evaluation were the anatomic remaining abnormalities after surgery of nose, lips, primary and secondary palate (back of 17 years). RESULTS: Our results show that Millard method and derived are taken as a whole effective, even if the number of secondary surgery and supplementary adjustments was sizeable (87%). The postoperative abnormalities concerning red lip (discontinuity, mucous excess) were frequent (53%), but easily correctable. The secondary surgeries were mainly for minor touch up of lip (46%), second time palate surgeries (53%), and rhinoplasties (40%). CONCLUSION: Progress in anesthesia and reanimation allowed us to assure an early management of clefts. The absence of incorrigible after-effects by a secondary surgery of the first-operated patients encouraged the team to continue in this way. SN - 1768-319X UR - https://www.unboundmedicine.com/medline/citation/18938021/[Long_term_morphologic_results_of_a_32_successive_patients_series_presenting_unilateral_complete_cleft_lip_and_palate_with_surgery_at_early_age]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0294-1260(08)00063-0 DB - PRIME DP - Unbound Medicine ER -