Transverse facial cleft (macrostomia) repair: Modification of a traditional technique

Zhou, Lian; Zhu, Huaiqiu; Shi, D.Y.; Ren, Dongni; Cui, Yingqiu; Zhao, Juan; Hou, Yingzi; Xu, Tao

doi:10.1016/j.bjps.2019.08.003

Cited by 3 publications

(3 citation statements)

References 20 publications

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“…Assi C et al also found that the enhanced echo needle can significantly improve the visibility of deep vein catheterization, shorten the puncture time, improve the puncture success rate, and reduce the risk of puncture-related complications [ 3 , 4 ]. Lian proposed adding a small dose of fentanyl to local anesthetics for brachial plexus block, which significantly improved the success rate of the block, shortened the onset time, prolonged the sensory block time, and had no obvious side effects [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Comparative Anesthesia Effect of Brachial Plexus Block Based on Smart Electronic Medical Ultrasound-Guided Positioning and Traditional Anatomical Positioning

Liu

Zhu

2021

Journal of Healthcare Engineering

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With the intensification of population aging, the improvement of visualization technology, and the concept of accelerated rehabilitation surgery, the anesthesia method of upper extremity surgery is gradually changing. However, these methods are often caused by anatomical variations and often have low block success rates and patient satisfaction. The neuroanatomical position should be accurately located so that the puncture needle is right next to the nerve bundle or in the nerve sheath. This is very important for implementing accurate brachial plexus anesthesia. This article uses ultrasound-guided positioning technology and traditional anatomical positioning technology for brachial plexus block treatment, aiming to explore the anesthesia effect of brachial plexus block with different techniques. This article selects 120 patients undergoing brachial plexus block surgery for forearm or hand surgery and divides these 120 patients into 6 groups with 20 people in each group. The first 3 groups were treated with brachial plexus block using ultrasound-guided positioning technology. The latter 3 groups were treated with brachial plexus block using traditional anatomical positioning technology. Experiments proved that during anesthesia, compared with the ultrasound group, the heart rate of the traditional anatomy group was significantly decreased ( P < 0.05 ), and the average arterial pressure of the six groups of patients at each time point had no statistical difference ( P > 0.05 ). This shows that whether it is ultrasound-guided positioning technology or traditional anatomical positioning technology, it has no effect on the average arterial pressure of the patient at each time point. In addition to intuitive and accurate viewing of needle and nerve contact, ultrasound real-time guidance allows intuitive viewing of anesthesia. This is a special advantage of nerve block under ultrasound guidance.

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Section: Introductionmentioning

confidence: 99%

Comparative Anesthesia Effect of Brachial Plexus Block Based on Smart Electronic Medical Ultrasound-Guided Positioning and Traditional Anatomical Positioning

Liu

Zhu

2021

Journal of Healthcare Engineering

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“…Penjahitan secara linier lebih sering menyebabkan lateral migrasi dari comisura serta hipertropik scar dan kontraktur dibandingkan dengan penggunaan tehnik Z atau W plasty. 8,9 Terdapat 3 teknik commisuroplasty (teknik dari Kaplan), yaitu teknik pertama dengan menggunakan upper lip vermilion yang ditransposisikan ke lower lip untuk membentuk neocomisura. 10 Teknik kedua yaitu teknik dari Kajiwaka yang menggunakan metode end to end anastomosis untuk membentuk neocomisura.…”

Section: Diskusiunclassified

Upper Lip Vermilion Transposition Flap pada Commisuroplasty dan Z Plasty pada Rekonstruksi Macrostomia

Saputro

2021

JRE

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Macrostomia adalah kelainan kongenital yang jarang terjadi, biasanya disertai kelainan lain. Kelainan ini diperkirakan terjadi pada 1 dari 80.000 kelahiran. Beberapa literatur telah menjelaskan tehnik operasi rekontruksi macrostomia, meski emikian belum ada satu standart operasi yang rekomendasikan, setiap tehnik memiliki kelebihan dan kekurangan. Penulis melaporkan satu kasus operasi rekontruksi macrostomia dengan menggunakan tehnik Kaplan untuk comisuroplaty, otot dijahitkan secara overlapping serta menggunakan Zplasty untuk penutupan kulit

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“…So far, great progress has been made in the treatment of scar after cleft lip surgery. Many methods such as second surgery (12), uorouracil injection, interferon γ, Botulinum toxin type A (13), Platelet-rich plasma (14), silicone gel (15,16), fat Grafting (17), radiotherapy, and cryotherapy(18-20).…”

mentioning

confidence: 99%

Laser treatment for scars after cleft lip surgery: A systematic review and meta-analysis

Pang,

Chi,

Zhan

et al. 2023

Preprint

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Background Current studies are controversial on the optimal treatment of postoperative scar treatment by cleft lip. Our objective is to elucidate the therapeutic effect of laser on postoperative cleft lip scar treatment. Methods A systematic review was performed and reported according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses. We searched five electronic databases (EMBASE, PubMed, Web of Science, Cochrane Library and CNKI, from their inceptions until August 8, 2023) and independently assessed the methodological quality and bias risk of the included studies by two investigators using the Cochrane Handbook for Systematic Reviews. Quality assessment of the certainty of evidence was performed based on the Grading of Recommendations Assessment, Development, and Evaluation guidelines. Weighted mean difference of Vancouver Scar Scale were calculated to conduct meta-analysis by Stata statistical software version 14. We also estimated the pool sensitivity as well as testing the possibility of publication bias. Results Five studies were included in this meta-analysis involving 255 subjects. Meta-analysis showed that compared with the control group, laser was more effective in treating post-cleft lip scars (WMD = 4.39, 95%CI = 0.54–8.23; Five studies with 255 participants; Low evidentiary certainty, I2 = 99.4%). Conclusions Patients treated with laser therapy for postoperative cleft lip scar treatment tend to have lower Vancouver Scar Scale scores, indicating a significant therapeutic effect. However, our results should be interpreted with caution due to the limitations. Trial registration identifier CRD42023397042 (18/02/2023) [https://www.crd.york.ac.uk/prospero/].

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Transverse facial cleft (macrostomia) repair: Modification of a traditional technique

Cited by 3 publications

References 20 publications

Comparative Anesthesia Effect of Brachial Plexus Block Based on Smart Electronic Medical Ultrasound-Guided Positioning and Traditional Anatomical Positioning

Comparative Anesthesia Effect of Brachial Plexus Block Based on Smart Electronic Medical Ultrasound-Guided Positioning and Traditional Anatomical Positioning

Upper Lip Vermilion Transposition Flap pada Commisuroplasty dan Z Plasty pada Rekonstruksi Macrostomia

Laser treatment for scars after cleft lip surgery: A systematic review and meta-analysis

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