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Cleft Palate Repair: A Study Between Two Surgical Procedures
Silvana Astrada1, Ricardo D Bennun1,2,3
1Asociacion PIEL.
Insights
The Carstens
Area of Science:
- Craniofacial surgery
- Pediatric surgery
- Plastic surgery
Background:
- Cleft lip and palate repair involves complex surgical techniques.
- Optimizing surgical strategies is crucial for minimizing long-term complications.
Purpose of the Study:
- To compare the effectiveness of two surgical strategies for primary cleft palate repair.
- To evaluate outcomes and sequelae in patients with unilateral and bilateral cleft lip/palate.
Main Methods:
- A randomized clinical trial involving 291 non-syndromic patients operated between 2002 and 2013.
- Two distinct surgical procedures were employed for primary cleft palate repair.
- Exclusion criteria included isolated palates, syndromic patients, and secondary/adult cases.
Main Results:
- A statistically significant difference in complication rates was observed between the two groups (Group A: 54.85%, Group B: 21.90%, P < 0.001).
- Detailed analysis of individual complications revealed significant variations between the surgical approaches.
Conclusions:
- The Carstens' variant, with author modifications, is suggested as an effective procedure for primary cleft palate repair.
- This surgical approach aids in preventing common postoperative complications in cleft lip/palate patients.
Objective:
The purpose of this study was to categorize and compare outcomes and sequels in 2 groups of patients born with unilateral and bilateral complete cleft lip/palate, having their primary cleft palate repair performed in our hospital, by the same surgical team, during 2 different periods of time, to establish which of the 2 surgical reconstructive strategies employed was more effective to decrease sequels.
Material And Methods:
This is a randomized clinical trial including a total of 291, nonsyndromic patients, primary assisted in our Hospital, between 2002 and 2013, and operated by the same senior surgeon.Two groups of patients of similar characteristics were treated utilizing 2 different surgical procedures according to the considered period. Isolated palates, syndromic patients, secondary and adult cases were considered as exclusion critters. Surgical data was obtained from medical records, and clinical examinations. All the patients were cautiously evaluated by a team expert to verify results, evolution, and sequels.
Results:
Statistically significant differences in the total percentage of complications were found between both groups. Group A: 54.85% and Group B: 21.90% (P value < 0.001).Each complication was also considered by groups and estimated as follow: CONCLUSIONS:: Based on the results of our research, we can suggest the Carstens' variant plus the introduced modifications by the authors, as a useful surgical procedure to be utilized in primary complete unilateral or bilateral cleft palate repair to prevent post op common complications.
