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A comparative study of two different techniques for complete bilateral cleft lip repair using two-dimensional
Srinivas Gosla Reddy1, Rajgopal R Reddy, Max J Zinser
1Saidabad, Hyderabad, India; Cologne, Germany; New Orleans, La.; Bournemouth, United Kingdom; and Nijmegen, The Netherlands From the G.S.R. Hospital, Institute of Cranio-Maxillofacial and Facial Plastic Surgery; the Department of Plastic Surgery, Clinic Cologne Merheim, University Witten-Herdecke; the Department of Oral and Maxillofacial Surgery, Louisiana State University Health Sciences Center, School of Dentistry; Nuffield Hospital; and Radboud University Nijmegen Medical Center.
The Afroze technique shows promising results for bilateral cleft lip repair compared to the Millard technique, though further long-term studies are needed to confirm its effectiveness.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Pediatric Surgery
Background:
- Complete bilateral cleft lip presents significant reconstructive challenges.
- Evaluating surgical techniques is crucial for optimizing patient outcomes.
- Photographic analysis offers a standardized method for outcome assessment.
Purpose of the Study:
- To compare the clinical outcomes of the Millard and Afroze techniques for complete bilateral cleft lip repair.
- To utilize indirect two-dimensional photographic analysis for objective outcome measurement.
Main Methods:
- A cohort of 108 bilateral cleft lip patients was divided into Millard and Afroze technique groups (n=54 each).
- Patients were categorized into symmetrical and asymmetrical cleft lip subgroups.
- Preoperative and 4-year postoperative standardized photographs were analyzed using eight measurements and seven ratios.
Main Results:
- Interobserver and intraobserver reliability of measurements were statistically significant.
- The Afroze technique demonstrated superior performance in more parameters for symmetrical clefts (6/7) than asymmetrical clefts (4/7).
- No statistically significant difference was found between the two techniques across all parameters.
Conclusions:
- The Afroze technique appears to yield favorable clinical outcomes in bilateral cleft lip repair.
- Further research and long-term follow-up are necessary to fully elucidate the technique's efficacy.
- Comparative analysis using photographic measurements provides valuable insights into surgical technique outcomes.
