Rossell Perry, Percy Eduardo

Preferred name

Main Affiliation

percy.rossell@upeu.edu.pe

ORCID

0000-0003-0423-7649

Scopus Author ID

24399744300

Mostrando 1 - 10 de 77

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Effect of Relaxing Incisions on the Maxillary Growth after Primary Unilateral Cleft Palate Repair in Mild and Moderate Cases: A Randomized Clinical Trial
(2017-01-01)
;
Omar Cotrina‐Rabanal
;
Olga Figallo-Hudtwalcker
;
Alicia Gonzalez-Vereau
Background: The purpose of this study was to evaluate the association between the use of relaxing incisions and maxillary growth disturbance after primary palatoplasty in patients with unilateral cleft lip and palate. Methods: This is a prospective, randomized, double-blind controlled trial study with ethical committee approval between 2 groups of patients with unilateral cleft lip and palate who were operated on using the two-flap and one-flap techniques from 2008 to 2011. Two groups of patients with unilateral cleft lip and palate were operated on using the mentioned techniques by the Outreach Surgical Center Program Lima since 2008. Data collection was accomplished by evaluation of maxillary arch dimensions and dental arch relationships (scored using the 5-year-olds’ index). Results: The mean score for the 5-year-olds’ index was 2.57 for two-flap technique and 2.80 for one-flap technique without statistical significant differences ( P = 0.71). Our comparative study did not find statistically significant differences in maxillary arch dimensions between the studied techniques for unilateral cleft palate repair. Good levels of agreement were observed according to the κ statistics. Conclusions: The results arising from this clinical trial do not provide statistical evidence that one technique let us obtain better maxillary development than the other at 5 years. The use of relaxing incisions was not associated with maxillary growth impairment. A technique with limited relaxing incisions does not has better maxillary growth. Additional longer term study is necessary to confirm this preliminary report.
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Commentary on Anthropometric Effect of Mucoperiosteal Nostril Floor Reconstruction in Complete Cleft Lip
(2015-12-24)
From the Faculty of Medicine, San Martin de Porres University, Lima, Peru. Address correspondence and reprint requests to Percy Rossell-Perry, PhD, FACS, Post Graduate Studies Faculty of Medicine, San Martin de Porres University, Lima Peru, 120 Schell St Apt, 1503 Miraflores, Lima 18, Perú; E-mail: [email protected] Received 28 July, 2015 Accepted 24 October, 2015 The author reports no conflicts of interest.
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One-Flap Palatoplasty
(2022-01-01)
Matthew Fell
;
Per Hall
;
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Regarding a Personal Strategy for Cleft Palate Repair
(2021-07-20)
Post Graduate Studies School of Medicine, San Martin University, Lima, Peru [email protected], [email protected]
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The Triple Unilimb Z Plasty Technique for Severe Forms of Unilateral Cleft Lip Repair
(2020-10-01)
Background: A wide spectrum of variation of the unilateral cleft lip deformity requires an individualized management. Current classifications for unilateral cleft lip are limited to incomplete or complete, and these descriptions do not address well this deformity. The soft tissue deficiency is not considered, which plays an important role in the surgical correction of the unilateral cleft lip. The author developed an innovative technique for surgical correction of unilateral cleft lip with severe soft tissue deficiency. Methods: Since 2007, 168 patients with severe unilateral cleft lip have been operated on by the author, using the proposed surgical technique. The author’s classification of severity considers a severe unilateral cleft lip as a discrepancy between the non-cleft and cleft vertical height greater than 6 mm. The technique uses 2 Z plasties for the upper lip and 1 Z plasty for vermillion repair. Results: This method lets the surgeon to achieve an adequate symmetry of the upper lip. A low rate of revision (14.88%) has been observed for 13 years, using the proposed surgical technique, by the author. Conclusions: An innovative technique to address severe forms of unilateral cleft lip is presented in this article. This method represents a good alternative for cleft lips with increased lateral segment tissue deficiency, providing adequate lip symmetry.
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Rotational Composite Flap Technique for Primary Incomplete Cleft Nose Deformity
(2020-06-01)
BACKGROUND: Nasal deformities accompanying unilateral incomplete cleft lip have minor skeletal and soft tissue deficiencies compared with deformities associated with unilateral complete cleft lip. Extended dissection and surgical incisions (often required for nasal deformities in complete cleft lip) are not recommended to address deformities accompanying incomplete cleft lip. The purpose of this study is to describe an innovative method involving a rotational composite flap for nasal repair in patients with unilateral cleft lip. METHODS: Since 2016, 49 consecutive patients with unilateral incomplete cleft lip have undergone primary anatomical repair of accompanying nasal deformities. The technique involves a skin incision along the marginal and intercartilaginous borders to create a V-shaped composite flap consisting of vestibular skin and alar cartilage. Rotational mobilization of the composite flap creates a triangular raw surface laterally, which is closed by advancement of the vestibular skin. RESULTS: This innovative method, which is based on the use of a rotational composite vestibular flap, achieves proper symmetry of the repaired nose. CONCLUSION: The herein described composite flap rhinoplasty is a good surgical option, which provides a good overall nasal symmetry in patients with nasal deformities accompanying unilateral incomplete cleft lip.
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Bad Results in Bilateral Cleft Lip Surgery
(2022-01-01)
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Experiencia con el colgajo de Kirschbaum en secuelas de quemaduras cérvico-faciales
(2014-01-01)
;
P. Paredes-Leandro
intro_obj: Presentamos nuestra experiencia con el colgajo de Kirschbaum (colgajo en charretera) en la corrección de retracciones cicatriciales de la región cervical anterior y del tercio inferior de la cara. Llevamos a cabo un estudio retrospectivo sobre una serie de 63 pacientes con retracciones cicatriciales de la región cervical anterior y del tercio inferior facial, operados por el primer autor entre los años 1996 y 2012 dentro del marco de las campañas quirúrgicas desarrolladas a lo largo del país (Perú) en las áreas geográficas con mayor necesidad de atención especializada. En todos los casos empleamos el colgajo en charretera tomado de la región lateral del cuello y de la región deltoidea. Evaluamos a los pacientes mediante el examen físico y la documentación fotográfica obtenida en los periodos pre y postoperatorio. Obtuvimos mejoría en diferentes grados de la limitación funcional de la región cervical y facial en todos los casos operados, con viabilidad total del colgajo en 59 casos (93,65%) y parcial en 4 casos (6,34%). No hubo ningún caso de pérdida total. Las complicaciones recogidas fueron pocas, principalmente hematomas, 6 casos (9,52%) e infección, 2 casos (3,17%). Las zonas donantes evolucionaron con cicatriz hipertrófica en 22 de los casos (34,92%). En conclusión, nuestra experiencia con el uso de esta técnica quirúrgica ha demostrado ser de utilidad en el tratamiento de las secuelas de quemadura con retracción cicatricial cervical y facial, por lo que consideramos que el colgajo de Kirschbaum es seguro y tiene pocas complicaciones.
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Andere Komplikationen
(2023-01-01)
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Cleft Lip Surgery Complications
(2022-01-01)

Rossell Perry, Percy Eduardo

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