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[Early treatment of labiopalatine clefts. Their management and anesthetic problems]
Insights
A new therapeutic timeline for cleft lip and palate enables early infant treatment. This approach utilizes advancements in surgical and anesthetic techniques for safe and effective infant care.
Area of Science:
- Craniofacial surgery
- Pediatric orthopedics
- Anesthesiology
Context:
- Cleft lip and palate treatment traditionally involves later interventions.
- Recent advancements in surgical, orthopedic, and anesthetic techniques allow for earlier interventions.
- The Malek and Psaume therapeutic chronology proposes a new timeline for infant treatment.
Purpose:
- To review the novel therapeutic chronology for cleft lip and palate developed by Malek and Psaume.
- To describe the early orthopedic or surgical procedures for infants aged one to three months.
- To analyze the safety and efficacy of anesthesia and the postoperative course in this early intervention protocol.
Summary:
- The Malek and Psaume therapeutic chronology involves very early treatment for cleft lip and palate in infants aged one to three months.
- This approach is facilitated by progress in surgical, orthopedic, and anesthetic techniques and equipment.
- The study details the anesthesia organization and presents results indicating a simple, risk-free anesthetic procedure with a straightforward postoperative course.
Impact:
- Enables earlier surgical and orthopedic interventions for infants with cleft lip and palate.
- Demonstrates a safe and simple anesthetic protocol for very young infants undergoing corrective procedures.
- Facilitates normal feeding and early discharge (2nd-3rd postoperative day) for infants, improving early outcomes.
Abstract:
The authors review a new therapeutic chronology for cleft lip and palate developed by R. Malek and J. Psaume. This involves very early treatment requiring orthopaedic or surgical procedures in small infants aged one to three months. These have been made possible by progress in techniques and equipment from both a surgical and orthopaedic standpoint as well as in anaesthesia. They describe the organisation of anaesthesia and analyse their results, showing that this is a simple anaesthetic, free of risk. The postoperative course is simple. The child is fed normally and is discharged on the 2nd or 3rd postoperative day.