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Early repair for infants with cleft lip and nose
Jiad N McHeik1, Pierre Sfalli, Jean M Bondonny
1Chirurgie Pédiatrique, Centre Hospitalier Universitaire, Cité Hospitalière de La Milétrie, Hôpital Jean-Bernard B.P. 577, 86021 Poitiers Cedex, France. yuen_a@yahoo.com.sg
Insights
Early surgical repair of cleft lip and nose in newborns shows positive long-term aesthetic and dental outcomes. This management approach is recommended for infants with cleft conditions.
Area of Science:
- Plastic Surgery
- Pediatric Surgery
- Craniofacial Surgery
Background:
- Cleft lip and palate are common congenital conditions requiring surgical intervention.
- The timing and technique of surgical repair significantly impact long-term outcomes.
- Early intervention aims to optimize aesthetic results and functional development.
Purpose of the Study:
- To evaluate the 10-year outcomes of early surgical repair for cleft lip and nose.
- To assess aesthetic results and dental arch relationships following neonatal cleft repair.
Main Methods:
- A cohort of 123 infants with cleft lip underwent early surgical repair within the first 4 weeks of life.
- A multidisciplinary team managed patients following a strict protocol.
- A subgroup of 40 infants received surgery within the first week of life.
Main Results:
- The study demonstrated favorable aesthetic assessments 10 years post-surgery.
- Dental arch relationships were found to be appropriate for the age group.
- Facial growth was consistent with age-appropriate development.
Conclusions:
- Early surgical repair of cleft lip and nose in full-term infants yields positive long-term results.
- The study supports early intervention as an effective management strategy for newborns with cleft conditions.
- This approach contributes to improved aesthetic and functional outcomes in pediatric patients.
Objective:
To study the results 10 years after early surgical cleft lip and nose repair.
Patients And Methods:
We present the outcome of 123 early cleft lip repairs whose condition was managed in a multidisciplinary team according to a strict protocol. We give the observation results of operations of a single surgeon's neonatal surgery over a 10-year period in term of aesthetic assessments and dental arch relationships. One hundred and twenty-three patients were operated on during the first 4 weeks of life; a subgroup of 40 child had been operated on at a week or less of age.
Results:
The results show good aesthetic assessments and dental relationships, with facial growth appropriate for the age.
Conclusions:
We are currently encouraging early cleft lip and nose repair in the full-term baby as the good method of management of newborns with cleft.
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