Related Experiment Videos
[Early repair for infants with cleft lip. Retrospective study of 263 cleft lip repairs]
J N Mcheik1, G Levard, P Vergnes
1Service de chirurgie pédiatrique, CHU, cité hospitalière de La Milétrie, hôpital Jean-Bernard, BP 577, 86021 Poitiers, France. jiadmcheik@yahoo.fr
Insights
Early cleft lip repair in newborns shows no significant difference in immediate surgical outcomes or need for revision surgery compared to later repair. This suggests early intervention is a viable management option for infants with cleft lip.
Area of Science:
- Pediatric Surgery
- Craniofacial Surgery
- Neonatal Care
Context:
- Cleft lip is a common congenital condition requiring surgical intervention.
- The optimal timing for cleft lip repair remains a subject of clinical discussion.
- This study retrospectively analyzes the impact of early versus later surgical repair.
Purpose:
- To define the effect of early cleft lip repair on the surgical procedure.
- To evaluate the immediate outcomes of early versus delayed cleft lip surgery.
- To assess the need for subsequent revision surgeries based on repair timing.
Summary:
- A retrospective analysis of 263 cleft lip repairs in 218 infants was conducted.
- Infants were grouped by age at operation: within 4 weeks (including <=1 week) versus 1-12 months.
- No significant differences were found in immediate surgical results or revision rates between early and later repair groups.
Impact:
- Early cleft lip repair in full-term infants is encouraged as an optimum management strategy.
- Findings support the feasibility and efficacy of early surgical intervention for neonatal cleft lip.
- This research informs clinical practice regarding the timing of cleft lip repair.
Abstract:
This study attempts to define the effect of early repair on the surgical procedure and immediate outcome of cleft lip surgery. The first part deals with 263 consecutive cleft lip repairs (218 infants) categorized retrospectively by age at operation. 123 patients (150 cleft lips) were operated on during the first 4 weeks of life; a subgroup of 40 infants was operated on at a week or less of age; 95 patients (113 cleft lips) were operated at an older age (1 to 12 months). There were no significant difference in immediate surgical result between the groups and there was no apparent difference in the operative results as defined by whether or not the child needed subsequent revision. We are currently encouraging early repair in the full-term baby as the optimum method of management of newborns with cleft lip.