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[Combined interventions in primary management of patients with lip-jaw-palatal clefts]

E P Franz1, S Weihe, H Eufinger

  • 1Klink für Mund-, Kiefer- und Plastische Gesichtschirurgie, Ruhr-Universität Bochum, In der Schornau 23-25, 44892 Bochum. eric-peter.franz@ruhr-uni-bochum.de

Mund-, Kiefer- Und Gesichtschirurgie : MKG
|November 6, 2001
PubMed

Insights

The combined surgical approach for cleft lip and palate repair reduces interventions and hospital stays without increasing complications. This strategy offers a safer, more efficient treatment for infants.

Area of Science:

  • Craniofacial Surgery
  • Pediatric Surgery
  • Surgical Innovation

Background:

  • Advancements in infant cleft lip and palate care prompt evaluation of surgical step reduction.
  • 108 patients with complete cleft lip and palate (1985-1997) were analyzed.
  • Comparison between "combined" (single-session) and "separated" (multi-session) surgical strategies.

Purpose of the Study:

  • To determine if reducing surgical steps in primary cleft repair impacts patient risk.
  • To compare the efficacy and safety of combined versus separated surgical procedures for cleft lip and palate.

Main Methods:

  • Retrospective analysis of 108 patients with complete cleft lip and palate.
  • Comparison of "combined" (n=54) and "separated" (n=54) surgical approaches.
  • Evaluation of peri- and postoperative parameters including age, weight, blood loss, operative time, complications, and hospitalization.

Main Results:

  • Combined procedures involved fewer operations under general anesthesia.
  • Significant reductions observed in total blood loss (122 vs 147 ml) and hospitalization duration (27 vs 34 days) with the combined approach.
  • No significant difference in perioperative complication rates (14% vs 15%) or wound dehiscence (18% vs 13%) between groups.

Conclusions:

  • Combined surgical procedures for cleft lip and palate are effective and safe.
  • This approach reduces the number of interventions, blood loss, and hospital stay.
  • The combined strategy offers a viable alternative to separated procedures without compromising patient safety.
Abstract

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