التفاصيل البيبلوغرافية
| العنوان: |
Unilateral Cleft lip and Palate: Long-Term Results of the Malek Technique. |
| المؤلفون: |
de Buys Roessingh, Anthony, Robert, Yohann, Despars, Josée, Zbinden-Trichet, Chantal, Herzog, Georges, Broome, Martin, El Ezzi, Oumama |
| المصدر: |
Cleft Palate Craniofacial Journal; Feb2024, Vol. 61 Issue 2, p219-230, 12p |
| مصطلحات موضوعية: |
ORAL fistula, CLEFT palate, MEDICAL technology, RETROSPECTIVE studies, TERTIARY care, SURGICAL complications, CLEFT lip, TREATMENT effectiveness, LANGUAGE acquisition, MIDDLE ear ventilation, DESCRIPTIVE statistics, REOPERATION, LONGITUDINAL method |
| مستخلص: |
Objective : To review at 18 years-old the results of surgery and follow-up of children born in our hospital with unilateral cleft lip and palate (uCLP). They were operated at the time by the same surgeon, following the same primary surgical procedure (Malek). Design : Retrospective cohort study. Setting : Tertiary Children's Hospital. Patients : All children born with uCLP between 1996 and 2001 and operated in our hospital. Syndromic children were excluded. Main outcome measures: Results of the primary surgery, ear–nose–throat interventions, maxillo-facial surgery and final phonatory results. Results : Seventy-nine files of children born with a cleft were reviewed: 34 were taken into consideration for uCLP: 15 right and 19 left. They were operated in two stages, following the inverse Malek procedure. Sixty per cent had a fistula. Eighty-eight percent had grommets. Ninety-seven percent had an alveolar graft at a median age of nine (5-10) and 22% underwent a Le Fort osteotomy. Seven percent were operated for a pharyngeal flap, 29% for a secondary lip surgery at a mean age of 12.8 and 29% for a late rhinoplasty at a mean age of 14.8 years. A median of 5.7 multidisciplinary consultations was realized with a median number of general anesthesia of 7.1 (4-13). Conclusions : This retrospective study shows that the Malek procedure for children born with uCLP is related to a high risk of fistula but good long-term phonatory results. Twenty percent of children were operated for a Le Fort procedure and one-third for a secondary lip procedure and rhinoplasty. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |