TY - JOUR
T1 - Asymmetric bilateral cleft lip
T2 - Classification and a surgical technique
AU - Rossell-Perry, Percy
AU - Gavino-Gutierrez, Arquímedes M.
PY - 2012/9
Y1 - 2012/9
N2 - Objective: The purpose of this study was to evaluate the symmetry in lip height after using our technique for bilateral cleft lip repair. A retrospective audit of 1 surgeon's outcome of 35 consecutively performed bilateral cleft lip repair with asymmetry between the right and left segments of the lip. Data were from the Outreach Surgical Center Program Lima Peru. Methods: Since 2007, 158 patients with bilateral cleft lip were operated on using the Outreach Surgical Center Program Protocol. Of these patients, 35 (repaired using our technique) met the study criterion of having anthropometric measurements performed at least 1 year after surgery. Under general anesthesia, collection of lip height data (right and left sides) was performed immediately before the lip (before surgery) and palate (after surgery) surgery. Lip measurements were obtained using calipers. Results: A 2-sample t-test with equal-variance analysis was performed to assess the statistical significance of differences between the right and left sides of the lip after surgery. This study found no statistically significant differences between the height of the right and left sides of the lip (P = 0.12) after lip repair using our technique. Conclusions: These findings suggest that this technique is a good alternative to repair asymmetric forms of bilateral cleft lip. The operative strategy for repair of an asymmetric bilateral cleft lip is determined by the degree of severity of the cleft.
AB - Objective: The purpose of this study was to evaluate the symmetry in lip height after using our technique for bilateral cleft lip repair. A retrospective audit of 1 surgeon's outcome of 35 consecutively performed bilateral cleft lip repair with asymmetry between the right and left segments of the lip. Data were from the Outreach Surgical Center Program Lima Peru. Methods: Since 2007, 158 patients with bilateral cleft lip were operated on using the Outreach Surgical Center Program Protocol. Of these patients, 35 (repaired using our technique) met the study criterion of having anthropometric measurements performed at least 1 year after surgery. Under general anesthesia, collection of lip height data (right and left sides) was performed immediately before the lip (before surgery) and palate (after surgery) surgery. Lip measurements were obtained using calipers. Results: A 2-sample t-test with equal-variance analysis was performed to assess the statistical significance of differences between the right and left sides of the lip after surgery. This study found no statistically significant differences between the height of the right and left sides of the lip (P = 0.12) after lip repair using our technique. Conclusions: These findings suggest that this technique is a good alternative to repair asymmetric forms of bilateral cleft lip. The operative strategy for repair of an asymmetric bilateral cleft lip is determined by the degree of severity of the cleft.
KW - Bilateral cleft lip classification
KW - Surgical technique
UR - http://www.scopus.com/inward/record.url?scp=84867848503&partnerID=8YFLogxK
U2 - 10.1097/SCS.0b013e31824f6480
DO - 10.1097/SCS.0b013e31824f6480
M3 - Article
C2 - 22948654
AN - SCOPUS:84867848503
SN - 1049-2275
VL - 23
SP - 1367
EP - 1372
JO - Journal of Craniofacial Surgery
JF - Journal of Craniofacial Surgery
IS - 5
ER -