Cleft Lip: Morbidity and Mortality in Early Repair

Bromley, Gary S.; Rothaus, Kenneth O.; Goulian, Dicran

doi:10.1097/00000637-198303000-00007

Cited by 20 publications

(16 citation statements)

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“…The operations have been performed or supervised by the senior author (A.D.) and anesthesia was administered or supervised by an experienced pediatric anesthetist (M.G.). All patients had local infiltra- tion of the lip and palate with Xylocaine 0.5% with l:100,000 epinephrine in addition to general anesthesia with isoflurane and occasionally small doses of Fentanyl (1 mcg/kg) [1]. A prophylactic antibiotic treatment (Ampicillin 50 mg/kg/day) was routinely given at the induction of anesthesia.…”

Section: Methodsmentioning

confidence: 99%

Early postoperative complications in primary cleft lip and palate surgery

et al. 1997

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We studied the occurrence of early complications of cleft lip and palate surgery by the retrospective study of 132 consecutive cases (160 procedures) operated between three and six months of age. Three children presented with major complications within the immediate postoperative period. All were treated successfully. A local complication directly related to the operation occurred in 7.5% of the cases within the first six postoperative days. In 17%, a general complication not directly related to the operation was observed. The majority of these general complications were cross infections during the hospital stay. These observations led us to reduce the hospital stay to one day for cleft lip and five days for cleft palate and cleft lip and palate operations without compromise to safety but with a reduction of the morbidity and hence the treatment costs and of the childfamily disturbance.

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Section: Methodsmentioning

confidence: 99%

Early postoperative complications in primary cleft lip and palate surgery

et al. 1997

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“…may be done within the first 24 h if the baby is healthy in every other respect ''and noted that'' with proper anaesthesia and adequate supportive treatment, the operation offers no bigger risk than one made several weeks later.'' Bromley et al [6], reviewing a 15-years series of cleft lip repairs at the New York Hospital, found no bigger incidence of operative morbidity when surgery was performed in the first week of life than when delayed. Weatherley-White et al [7], did not note any operative death with 49 patients operated early for cleft lip and there were no statistically significant differences in anaesthetic complication rate between 49 patients operated on during the 3 weeks of life and 51 patients operated at an older age.…”

Section: Discussionmentioning

confidence: 99%

Early repair for infants with cleft lip and nose

Mcheik

Sfalli

Bondonny

et al. 2006

International Journal of Pediatric Otorhinolaryngology

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“…Nowadays the lip repair is possible already in the first week after birth (Desai, 1997; Galinier et al, 2008; Le Pendeven, Martinot-Duquennoy & Pellerin, 2009; Harris et al, 2010). Generally, the surgical reconstruction of cleft lip and palate is performed from the first hour of life to adulthood (Mazaheri et al, 1971; Millard, 1976; Bromley, Rothaus & Goulian, 1983). The early surgical lip reconstruction does not result in the increasing of perioperative mortality or neonatal morbidity and the result is comparable with later reconstruction (Burt & Byrd, 2000).…”

Section: Introductionmentioning

confidence: 99%

Effects of early and late cheiloplasty on anterior part of maxillary dental arch development in infants with unilateral complete cleft lip and palate

Valentová-Strenáčiková¹,

Malina

2016

PeerJ

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Objectives. The objective of this study is to compare the impact of early and late reconstruction of complete unilateral cleft lip and palate on the growth and development of the front of the dentoalveolar arch. Methods. This study was carried out in the years 2012–2015 at the Clinic of Plastic, Reconstructive and Aesthetic Surgery in Banska Bystrica. Infants with unilateral complete cleft lip and palate were divided into 2 groups according to the timing of lip reconstruction. Group A consisted of infants with early lip reconstruction–realised in the first 14 days of life. Group B consisted of infants with later lip reconstruction–realised in the third month of age. Maxillary dental casts were obtained for each child in four periods–in the first 14 days of life, in the third month, in the sixth month and in the age of one year. These were followed by the identification, measurement and evaluation of anthropometric parameters. Results. Significant differences were occurred after the reconstruction of the lips in linear and angle measurements between infants in the A and B groups. Conclusion. The early surgical reconstruction of the lips in the first 14 days of life has a positive effect on the growth and development of the anterior segment of the dentoalveolar arch. Early lip reconstruction forms a continuous pressure on the frontal segment, resulting in the earlier remedy of anatomical properties and creates appropriate conditions for the best development of this area.

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Cleft Lip: Morbidity and Mortality in Early Repair

Cited by 20 publications

References 0 publications

Early postoperative complications in primary cleft lip and palate surgery

Early postoperative complications in primary cleft lip and palate surgery

Early repair for infants with cleft lip and nose

Effects of early and late cheiloplasty on anterior part of maxillary dental arch development in infants with unilateral complete cleft lip and palate

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