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Cleft Lip and Palate Repair.
Gian Luca Gatti1, Nicola Freda, Alessandro Giacomina
1Cleft Lip and Palate Center, Plastic and Reconstructive Surgery Unit, Santa Chiara Hospital, Pisa, Italy.
The Journal of Craniofacial Surgery
|November 2, 2017
Summary
This study on cleft lip and palate repair in 752 patients found that multidisciplinary management leads to good patient satisfaction and aesthetic outcomes. Key surgical techniques include periosteoplasty and lip-adhesion for effective treatment.
Area of Science:
- Craniofacial Surgery
- Pediatric Surgery
- Plastic Surgery
Background:
- Cleft lip and palate (CLP) represents the most common congenital craniofacial deformity.
- Effective surgical repair is crucial for functional and aesthetic outcomes in affected children.
Purpose of the Study:
- To describe the experience and outcomes of cleft lip and palate repair.
- To evaluate patient and caregiver satisfaction following surgical intervention.
- To identify key surgical techniques for optimal results.
Main Methods:
- Retrospective review of 752 patients undergoing CLP repair between 2009 and 2015.
- Data collection included demographics, cleft type, risk factors, surgical details, and complications.
- Caregiver satisfaction assessed using the Cleft Evaluation Profile (CEP); aesthetic satisfaction evaluated via Visual Analog Scale (VAS).
Main Results:
- The study included 752 patients (57.45% male) with various cleft types, including incomplete cleft palate and unilateral complete cleft lip and palate.
- Complications were reported in 14.16% of patients.
- High satisfaction scores were reported by caregivers (average CEP scores ranging 4.1-4.8) and assessors (average VAS scores 7.9-8.7).
Conclusions:
- Multidisciplinary management of oral clefts yields favorable results in patient satisfaction and aesthetic appearance.
- Periosteoplasty and lip-adhesion are identified as critical surgical techniques for successful cleft repair.

