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Local Wound Care for Primary Cleft Lip Repair: Treatment and Outcomes With use of Topical Hydrogen Peroxide.
Wounds 2015; 27(12):319-26W

Abstract

OBJECTIVES

This study highlights and validates a peroxide-based wound healing strategy for treatment of surgically closed facial wounds in a pediatric population. The authors identified pediatric patients undergoing primary cleft lip repair as a specific population to evaluate the outcomes of such a protocol. Through analysis of defined outcome measures, a reliable and reproducible protocol for postoperative wound care following primary cleft lip repair with favorable results is described.

METHODS

This retrospective study analyzes wound healing outcomes in pediatric patients undergoing primary cleft lip repair from 2006 to 2011 at a tertiary academic center. The wound healing protocol was used in both primary unilateral and bilateral repairs. One hundred fortysix patients between the ages of 0 and 4 years underwent primary cleft lip repair and cleft rhinoplasty by a single, fellowship-trained craniofacial surgeon. Postoperatively, wounds were treated with half-strength hydrogen peroxide and bacitracin, as well as scar massage. Incisional dehiscence, hypertrophic scar formation, discoloration, infection, and reoperation were studied. Outcomes were evaluated in light of parent compliance, demographics, preoperative nasoalveolar molding (PNAM), and diagnosis.

RESULTS

The authors identified 146 patients for inclusion in this study. There was no wound or incisional dehiscence. One hundred twenty-four patients demonstrated favorable cosmetic outcome. Only 3 (2%) of patients who developed suboptimal outcomes underwent secondary surgical revision (> 1 year after surgery). Demographic differences were not statistically significant, and PNAM treatment did not influence outcomes.

CONCLUSION

These data validate the use of halfstrength hydrogen peroxide and bacitracin as part of a wound healing strategy in pediatric incisional wounds. The use of hydrogen peroxide produced comparable outcomes to previously published studies utilizing other wound healing strategies and, therefore, these study findings support the further use of this regimen for this particular population.

Authors+Show Affiliations

Tulane University School of Medicine, New Orleans, LA.Oregon Health & Science University, Portland, OR.Oregon Health & Science University, Portland, OR.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27447104

Citation

Strong, Amy L., et al. "Local Wound Care for Primary Cleft Lip Repair: Treatment and Outcomes With Use of Topical Hydrogen Peroxide." Wounds : a Compendium of Clinical Research and Practice, vol. 27, no. 12, 2015, pp. 319-26.
Strong AL, Nauta AC, Kuang AA. Local Wound Care for Primary Cleft Lip Repair: Treatment and Outcomes With use of Topical Hydrogen Peroxide. Wounds. 2015;27(12):319-26.
Strong, A. L., Nauta, A. C., & Kuang, A. A. (2015). Local Wound Care for Primary Cleft Lip Repair: Treatment and Outcomes With use of Topical Hydrogen Peroxide. Wounds : a Compendium of Clinical Research and Practice, 27(12), pp. 319-26.
Strong AL, Nauta AC, Kuang AA. Local Wound Care for Primary Cleft Lip Repair: Treatment and Outcomes With Use of Topical Hydrogen Peroxide. Wounds. 2015;27(12):319-26. PubMed PMID: 27447104.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Local Wound Care for Primary Cleft Lip Repair: Treatment and Outcomes With use of Topical Hydrogen Peroxide. AU - Strong,Amy L, AU - Nauta,Allison C, AU - Kuang,Anna A, PY - 2016/7/23/entrez PY - 2016/7/23/pubmed PY - 2017/6/1/medline SP - 319 EP - 26 JF - Wounds : a compendium of clinical research and practice JO - Wounds VL - 27 IS - 12 N2 - OBJECTIVES: This study highlights and validates a peroxide-based wound healing strategy for treatment of surgically closed facial wounds in a pediatric population. The authors identified pediatric patients undergoing primary cleft lip repair as a specific population to evaluate the outcomes of such a protocol. Through analysis of defined outcome measures, a reliable and reproducible protocol for postoperative wound care following primary cleft lip repair with favorable results is described. METHODS: This retrospective study analyzes wound healing outcomes in pediatric patients undergoing primary cleft lip repair from 2006 to 2011 at a tertiary academic center. The wound healing protocol was used in both primary unilateral and bilateral repairs. One hundred fortysix patients between the ages of 0 and 4 years underwent primary cleft lip repair and cleft rhinoplasty by a single, fellowship-trained craniofacial surgeon. Postoperatively, wounds were treated with half-strength hydrogen peroxide and bacitracin, as well as scar massage. Incisional dehiscence, hypertrophic scar formation, discoloration, infection, and reoperation were studied. Outcomes were evaluated in light of parent compliance, demographics, preoperative nasoalveolar molding (PNAM), and diagnosis. RESULTS: The authors identified 146 patients for inclusion in this study. There was no wound or incisional dehiscence. One hundred twenty-four patients demonstrated favorable cosmetic outcome. Only 3 (2%) of patients who developed suboptimal outcomes underwent secondary surgical revision (> 1 year after surgery). Demographic differences were not statistically significant, and PNAM treatment did not influence outcomes. CONCLUSION: These data validate the use of halfstrength hydrogen peroxide and bacitracin as part of a wound healing strategy in pediatric incisional wounds. The use of hydrogen peroxide produced comparable outcomes to previously published studies utilizing other wound healing strategies and, therefore, these study findings support the further use of this regimen for this particular population. SN - 1943-2704 UR - https://www.unboundmedicine.com/medline/citation/27447104/Local_Wound_Care_for_Primary_Cleft_Lip_Repair:_Treatment_and_Outcomes_With_use_of_Topical_Hydrogen_Peroxide_ L2 - http://www.woundsresearch.com/article/local-wound-care-primary-cleft-lip-repair-treatment-and-outcomes-use-topical-hydrogen DB - PRIME DP - Unbound Medicine ER -