Abstract

ROSSELL-PERRY, P.  and  GAVINO-GUTIERREZ, A.M.. New approchment to the surgical treatment of congenital cleft lip deformities. Cir. plást. iberolatinoam. [online]. 2013, vol.39, n.1, pp.23-34. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922013000100004.

The cleft lip deformities present in a wide spectrum of variation and their treatment requires a very detail description of the morphology and a more individualized surgical treatment. Most of reference center around the world use one surgical technique or modifications of it, to address the different forms of cleft lip. During our first years of experience we repair all the cleft forms using only one technique (Millard for unilateral and Mulliken for bilateral) with good and bad results. This scenario stimulates us to classify the cleft lips and propose a new strategy for their surgical treatment, making them more individualized. The purpose of this study is to compare the surgical results obtained using two different protocols. This is an analytic and comparative study of 2 protocols: protocol A, using one surgical technique to address all cleft types, and protocol and B, using different surgical techniques according to our proposed classification based on number of bad results obtained using each one. To establish the type of result obtained we did anthropometric measurements in both sides of the repaired lip before the cleft palate repair under general anesthesia. In both cases, we have seen statistically significant differences in the number of bad results between the two protocols, on behalf of protocol B (p: 0.0001 and p: 0.002). We observed less number of bad results using the individualized protocol (protocol B) in the surgical treatment of unilateral and bilateral cleft lip showing the efficacy of the proposed classification and used techniques. These conclusions support our proposal in this article, with the new classification and surgical techniques.

Keywords : Cleft lip classification; Cleft lip surgical technique.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )