مجله جهانی جراحی پلاستیک
مجله جهانی جراحی پلاستیک
دوشنبه 10 شهریور 1404
[Archive]
دوره 14، شماره 2 - ( 1404 )
جلد 14 شماره 2 صفحات 91-86 |
برگشت به فهرست نسخه ها
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Peyvasteh M, Ayati V, Khosh khabar M, Askarpour S, Pak H I. Cleft Lip Techniques and Surgical Outcome in Patients Referred To Abuzar Children's Hospital in Ahvaz, Southern Iran. WJPS 2025; 14 (2) :86-91
URL: http://wjps.ir/article-1-1463-fa.html
URL: http://wjps.ir/article-1-1463-fa.html
Cleft Lip Techniques and Surgical Outcome in Patients Referred To Abuzar Children's Hospital in Ahvaz, Southern Iran. مجله جهانی جراحی پلاستیک. 1404; 14 (2) :86-91
چکیده: (370 مشاهده)
Background: Cleft lip in infants is associated with severe morphological and functional disorders. Cleft lip is particularly important, which can lead to psychological changes in the patient if the treatment result is not satisfactory. Different surgical methods have been developed in the past decades. We aimed to investigating cleft lip techniques and surgical outcome in patients.
Methods: In this cross-sectional analytical study, 32 patients undergoing cleft lip surgery referred to Abuzar Children's Hospital in Ahvaz, southern Iran between 2022 and 2023 were enrolled. According to the surgeon's opinion, the patients underwent cleft lip surgery using the Sommerlad technique. (n=18 or Millard technique (n=14). Surgical Ooutcomes were compared between the two groups.
Results: The mean age was 33.58±59.14 months. 65.6% of patients were boys (n=21). The need for rhinoplasty in the Sommerlad and Millard groups was 100% and 84.6%, respectively, and no significant difference was observed between the two groups (P=0.17). The cupids bow was estimated to be good in 28.6% and 38.9% of patients in the Millard and Sommerlad groups, respectively, while this difference between the two groups was not significant (P=0.51). There was no significant difference between the two groups in the vermilion border (P=0.31). No significant difference was observed between the two groups in terms of white roll match, lip length and Scar appearance (P>0.05).
Conclusion: No significant difference was observed in the results of lip surgery between the Sommerlad and Millard techniques. Further multicenter studies with larger sample sizes are recommended to validate these results.
Methods: In this cross-sectional analytical study, 32 patients undergoing cleft lip surgery referred to Abuzar Children's Hospital in Ahvaz, southern Iran between 2022 and 2023 were enrolled. According to the surgeon's opinion, the patients underwent cleft lip surgery using the Sommerlad technique. (n=18 or Millard technique (n=14). Surgical Ooutcomes were compared between the two groups.
Results: The mean age was 33.58±59.14 months. 65.6% of patients were boys (n=21). The need for rhinoplasty in the Sommerlad and Millard groups was 100% and 84.6%, respectively, and no significant difference was observed between the two groups (P=0.17). The cupids bow was estimated to be good in 28.6% and 38.9% of patients in the Millard and Sommerlad groups, respectively, while this difference between the two groups was not significant (P=0.51). There was no significant difference between the two groups in the vermilion border (P=0.31). No significant difference was observed between the two groups in terms of white roll match, lip length and Scar appearance (P>0.05).
Conclusion: No significant difference was observed in the results of lip surgery between the Sommerlad and Millard techniques. Further multicenter studies with larger sample sizes are recommended to validate these results.
فهرست منابع
1. Hosseini SN, Kalantar-Hormozi A, Vakili M, Yariqoli F, Hosseini N. Epidemiology of lip and palate clefts in northwest of Iran: Prevalence, surgery complications and unrepaired patients younger than 18 years old. Clin Epidemiol Global Health 2019;7(1):6-10. [DOI:10.1016/j.cegh.2017.11.002]
2. Raghavan U, Vijayadev V, Rao D, Ullas G. Postoperative management of cleft lip and palate surgery. Facial Plast Surg 2018;34(06):605-11. [DOI:10.1055/s-0038-1676381]
3. Peyvasteh M, Askarpour S, Moradi N, Mansouri A. Comparison of the Outcomes of Surgical Repair of Cleft Palate Performed by Modified Von Langenbeck and Bardach (Two-Flap Palatoplasty) Methods. World J Plast Surg 2023;12(3):94. [DOI:10.61186/wjps.12.3.94]
4. Zajac DJ, Vallino-Napoli LD. Evaluation and management of cleft lip and palate: A developmental perspective: Plural Publishing; 2024.
5. Paranaíba LMR, Miranda RTd, Ribeiro LA, Barros LMd, Martelli-Júnior H. Frequency of congenital craniofacial malformations in a Brazilian Reference Center. Revista Brasileira de Epidemiologia 2011;14:151-60. [DOI:10.1590/S1415-790X2011000100014]
6. Samuel S, Prasad BR, Kumari S, Tejaswi SS, Sanal T. A clinical study of incidence and distribution and co-relating factors of cleft lip and cleft palate among karnataka & kerala population. J Health Allied Sci NU 2014;4(03):066-9. [DOI:10.1055/s-0040-1703804]
7. Monson LA, Khechoyan DY, Buchanan EP, Hollier LH. Secondary lip and palate surgery. Clin Plast Surg 2014;41(2):301-9. [DOI:10.1016/j.cps.2013.12.008]
8. Pradnyandari NKPD. Aesthetic outcome comparison between Millard and Fisher technique for cleft lip surgery: a literature review. Indonesia J Biomed Sci 2023;17(2):153-9. [DOI:10.15562/ijbs.v17i2.439]
9. Aycart MA, Caterson EJ. Advances in Cleft Lip and Palate Surgery. Medicina (Kaunas) 2023 Nov 1;59(11). [DOI:10.3390/medicina59111932]
10. Oh TS, Kim YC. A comprehensive review of surgical techniques in unilateral cleft lip repair. Arch Craniofac Surg 2023 Jun;24(3):91-104. [DOI:10.7181/acfs.2023.00268]
11. Narayanan PV. Millard's rotation advancement technique for unilateral cleft lip repair. Journal of Cleft Lip Palate and Craniofacial Anomalies 2021;8(2):157-62. [DOI:10.4103/jclpca.jclpca_12_21]
12. Christofides E, Potgieter A, Chait L. A long term subjective and objective assessment of the scar in unilateral cleft lip repairs using the Millard technique without revisional surgery. J Plast Reconstr Aesthet Surg 2006;59(4):380-6. [DOI:10.1016/j.bjps.2005.04.037]
13. Adetayo AM, Adetayo MO, Adeyemo WL, James OO, Adeyemi MO. Unilateral cleft lip: evaluation and comparison of treatment outcome with two surgical techniques based on qualitative (subject/guardian and professional) assessment. J Korean Assoc Oral Maxillofac Surg 2019 Jun;45(3):141-51. [DOI:10.5125/jkaoms.2019.45.3.141]
14. Peyvasteh M, Askarpour S, Moradi N, Mansouri A. Comparison of the Outcomes of Surgical Repair of Cleft Palate Performed by Modified Von Langenbeck and Bardach (Two-Flap Palatoplasty) Methods. World J Plast Surg 2023;12(3):94-9. [DOI:10.61186/wjps.12.3.94]
15. Vyas T, Gupta P, Kumar S, Gupta R, Gupta T, Singh HP. Cleft of lip and palate: A review. J Family Med Prim Care 2020 Jun;9(6):2621-5. [DOI:10.4103/jfmpc.jfmpc_472_20]
16. Vyas T, Gupta P, Kumar S, Gupta R, Gupta T, Singh HP. Cleft of lip and palate: A review. J Family Med Primary Care 2020;9(6):2621-5. [DOI:10.4103/jfmpc.jfmpc_472_20]
17. Candotto V, Oberti L, Gabrione F, et al. Current concepts on cleft lip and palate etiology. J Biol Regul Homeost Agents 2019;33(3 Suppl. 1):145-51. DENTAL SUPPLEMENT.
18. Adetayo AM, Adetayo MO, Adeyemo WL, James OO, Adeyemi MO. Unilateral cleft lip: evaluation and comparison of treatment outcome with two surgical techniques based on qualitative (subject/guardian and professional) assessment. J Korean Assoc Oral Maxillofac Surg 2019;45(3):141. [DOI:10.5125/jkaoms.2019.45.3.141]
19. Kauffmann P, Cordesmeyer R, Fouellefack GA, Schminke B, Wiese K-G. Postoperative long-term results for the comparison of the symmetry of the upper lip during lip closure according to Millard and Pfeifer. Maxillofac Plast Reconstr Surg 2018;40:1-6. [DOI:10.1186/s40902-018-0157-1]
| بازنشر اطلاعات | |
 |
این مقاله تحت شرایط Creative Commons Attribution-NonCommercial 4.0 International License قابل بازنشر است. |
