Nouveautés dans la prise en charge des fentes labio-maxillo-palatines au CHUV

Ezzi, Oumama El; Jung, Christelle; Herzog, Georges; Medinger, Laurent; Despars, Josée; Lauffs, Céline; Fries, Sophie; Pelletier, Philippe; Broome, Martin; Roessingh, Anthony de Buys

doi:10.53738/revmed.2020.16.679.0237

Cited by 1 publication

(3 citation statements)

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“…Septorhinoplasty was planned at the end of the growth after the orthodontic treatment. The operation involved a small incision below the nose and necessitated a graft of cartilage taken from the ear [8] (Figure 6). The deviation of the nasal septum was also corrected during the same surgery.…”

Section: Ent Surgical Proceduresmentioning

confidence: 99%

“…ENT interventions included the insertion of grommets and septorhinop Grommets were inserted in cases of OME visualized under a microscope after m gotomy. This procedure was performed at the time of the palatoplasty under anest Septorhinoplasty was planned at the end of the growth after the orthodontic treat The operation involved a small incision below the nose and necessitated a graft of lage taken from the ear [8] (Figure 6). The deviation of the nasal septum was also rected during the same surgery.…”

Section: Ent Surgical Proceduresmentioning

confidence: 99%

“…The OFC phenotypes commonly accepted are a cleft lip and palate (CLP), an isolated uni-or bilateral cleft lip (CL), and an isolated cleft palate (CP). A unilateral cleft lip and palate (UCLP) is the most frequent presentation, accounting for approximately for 30-50% of cases [2,8]. Isolated CLs or CPs account for 20-25%, respectively.…”

Section: Introductionmentioning

confidence: 99%

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What We Learned from Performing the Inverse Malek Procedure to Repair Bilateral Cleft Lips and Palates: A Single-Center Retrospective Study

Al-Dourobi,

Mermod,

Doan

et al. 2024

JCM

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Background: This study reviews the surgical and functional outcomes of children diagnosed with a bilateral cleft lip and palate and treated by the same surgical team following specific surgical protocols 18 years after surgery and during the follow-up. Methods: Based on a single-center retrospective design, demographic and surgical data were gathered by the authors from international institutions. Most of the data were quantitative in nature, and descriptive statistical and non-parametric tests were employed for analysis. All children born with a bilateral cleft from 1982 to 2002 were considered. Children affected by a syndrome were excluded. Complications and speech results were the main items measured. Results: Thirty patients were selected; 73.3% were treated using the inverse Malek procedure, and 26.7% underwent a modified two-stage procedure. Seventy percent developed an oronasal fistula. An alveolar bone graft was performed in 83%, and 53.3% underwent Le Fort osteotomy. Thirty-six percent required a pharyngeal flap, with good speech results. The median number of times general anesthesia was used among all the interventions considered was 5.5 (4.25–6). Conclusions: This study presents the long-term results of using the inverse Malek procedure to treat children with a bilateral cleft lip and palate. It is shown that this is related to a high risk of developing a fistula, but has good long-term speech results.

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Section: Ent Surgical Proceduresmentioning

confidence: 99%

Section: Ent Surgical Proceduresmentioning

confidence: 99%