Synchronous correction in secondary cleft deformities: a prospective cohort study

Area of Science:

• Plastic Surgery
• Craniofacial Surgery
• Aesthetic Surgery

Background:

• Patients with cleft lip and palate often require multiple surgeries throughout their lives.
• This study investigated if combining procedures could enhance patient quality of life.
• The hypothesis was that combined surgeries would not compromise surgical outcomes.

Purpose of the Study:

• To evaluate the efficacy of simultaneous surgical correction of secondary cleft deformities.
• To assess the impact on patient quality of life and surgical outcomes.
• To determine if combining lip revision, rhinoplasty, and alveolar bone grafting is beneficial.

Main Methods:

• A prospective cohort study included adult patients with secondary cleft deformities.
• Exclusion criteria: medical issues, bilateral deformities, or gross skeletal deformity.
• Patients underwent simultaneous lip revision, rhinoplasty, and alveolar bone grafting, with outcomes assessed using standardized scales.

Main Results:

• 18 patients completed the study, showing significant improvement in the Ascher Mcdade Score.
• Excellent aesthetic outcomes were reported for lip-nose procedures, with high patient satisfaction.
• Alveolar bone grafting showed normal bone height in most cases, with no reported complications.

Conclusions:

• Simultaneous correction of multiple secondary cleft deformities is a viable option.
• This approach can improve psychological well-being and reduce financial burden.
• Careful surgical planning is crucial to prevent complications.