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Primary Cleft Lip Repair in Adults Under Local Anesthesia.

Bijoy Krishna Das¹, Satyajit Dhar²

¹Department of Pediatric Surgery, Care Medical College Hospital, Dhaka, Bangladesh.

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association

|November 3, 2021

Summary

Adult cleft lip repair using local anesthesia is a safe and cost-effective solution for underprivileged populations in developing countries. This procedure offers significant benefits, addressing deformities that often result from lack of awareness and financial constraints.

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Area of Science:

Plastic Surgery
Oral and Maxillofacial Surgery
Public Health

Background:

Cleft lip deformities affect many adults in developing nations due to limited awareness, social stigma, and financial barriers.
These challenges hinder access to timely surgical interventions for affected individuals.

Purpose of the Study:

To evaluate the safety and cost-effectiveness of cleft lip repair in adults under local anesthesia.
To assess patient satisfaction and peer feedback following the procedure.

Main Methods:

A retrospective cohort study analyzed 252 adult patients (age > 12) undergoing primary cleft lip repair from 2012 to 2019.
Exclusion criteria included cleft palate, cardiopulmonary disease, and unwillingness to undergo awake procedures.
Outcomes were assessed through patient self-satisfaction and peer comments.

Keywords:

adult cleft lip daycare surgery local anesthesia

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Main Results:

The study included 252 patients (168 male, 84 female) with a mean age of 23.62 years.
227 unilateral and 25 bilateral cleft lip repairs were performed under local anesthesia.
The postoperative period was uneventful, with no wound dehiscence or infection; most patients were discharged the same day.

Conclusions:

Cleft lip repair in adults under local anesthesia is a safe and cost-effective surgical option.
This approach is particularly beneficial for underprivileged populations in resource-limited settings.