Rossell Perry, Percy Eduardo

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Rossell Perry, Percy Eduardo
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percy.rossell@upeu.edu.pe
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    Effect of Nonradical Intravelar Veloplasty in Patients With Unilateral Cleft Lip and Palate: A Comparative Study and Systematic Review
    (2021-01-28)
    Percy Rossell‐Perry  
    ;
    Carolina Romero-Narváez
    ;
    Claudia Olivencia-Flores
    ;
    Renato Marca-Ticona
    ;
    Melissa Herencia Anaya
    BACKGROUND: The purpose of this study was to compare 2 techniques used for primary muscular repair and perform a systematic review of the literature to evaluate the effects of radical intravelar veloplasty (IVV) on nonsyndromic unilateral cleft lip and palate. METHODS: This is an ambispective study between 2 groups of patients with unilateral cleft lip and palate who were operated using a radical and conservative form of IVV in Lima Peru. Data collection was accomplished by evaluation of speech development and middle ear function of the patients. A systematic review of the literature for studies published until June 2020 to evaluate the effect using the radical IVV in patients with cleft lip and palate. RESULTS: Our comparative study did not find statistically significant differences in speech development between the studied techniques for unilateral cleft palate repair. Increased number of ear tube placements have been observed in the group treated with radical form of IVV. After systematic literature searching, 10 identified studies were qualified for the final analysis, which included 1367 patients. The overall study quality according to Oxford CEBM and GRADE scale was low. CONCLUSIONS: The results arising from this study provides statistical evidence that one technique let us obtain better speech outcomes. A technique with conservative IVV has statistical significant fewer rate of middle ear disorders after primary cleft palate repair. Based on available scientific evidence, definitive conclusions about the effectiveness of radical IVV on velopharyngeal and middle ear function cannot be drawn.
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    Vestibular Marginal Skin Excision Technique for Minor Secondary Unilateral Cleft Nose Deformity
    (2024-10-17)
    Percy Rossell‐Perry  
    ;
    Arquímedes M. Gavino-Gutiérrez
    BACKGROUND: Unilateral cleft lip secondary nasal deformities are common and require surgical correction frequently. The nasal dome on the cleft side is depressed, and the nasal ala is in an extended and flattened position compared with the noncleft side. In addition, the nasal septum is deviated into the cleft nostril. Intermediate cleft rhinoplasty is frequently performed during preschool age to address nasal deformities in cleft patients before the most critical period of psychosocial development. The purpose of this study is to describe an innovative method involving a minimal incision and tip dissection for secondary nasal repair in patients with unilateral cleft lip. METHODS: This is a prospective cohort study. Since 2019, a single surgeon has operated on 25 consecutive unilateral cleft lip and palate patients with minor secondary nasal deformities. The method involves vestibular marginal skin excision and nasal tip dissection to reshape the affected nostril, improving symmetry. The outcomes were evaluated through anthropometric measurements of the repaired nose during at least 3 years of follow-up. RESULTS: A single surgeon has operated on 25 unilateral cleft lip and palate patients with minor secondary nasal deformities using the proposed technique. Total nostril symmetry was achieved in 84% of cases during follow-up at the time of alveolar bone graft. CONCLUSIONS: Proposed secondary cleft rhinoplasty is a good approach to improve nostril appearance in patients with minor secondary unilateral nasal deformities. However, longer follow-up time and comparative studies are required to evaluate its efficacy.
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    Discussion of Furlow Palatoplasty and Tonsillectomy for Treating Patients with Submucous Cleft Palate and Tonsilar Hypertrophy: A One-Stage Procedure
    (2022-08-09)
    Percy Rossell‐Perry  
    Research Professor Health of Science Faculty School of Human Medicine, Peruvian University Union (UpeU) Lima Peru, President South American Medical Advisory Council Smile Train Foundation USA The author reports no conflicts of interest. Address correspondence and reprint requests to: Percy Rossell-Perry, PhD, FACS, Schell St No 120 Apt 1503 Miraflores, LIMA 18, PERU; E-mail: [email protected]; [email protected]
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    Flap Necrosis Associated With Furlow’s Palatoplasty
    (2023-04-27)
    Percy Rossell‐Perry  
    BACKGROUND: Numerous authors have reported their outcomes after using Furlow's palatoplasty for cleft palate repair. However, little attention has been given to the operative complications associated with this technique. The present study was carried out to present cases and analyze the various factors influencing the development of this complication accompanying Furlow's palatoplasty. MATERIALS AND METHODS: This is a case report study of patients with cleft palate admitted to our center due to sequelae after primary cleft palate repair using Furlow palatoplasty between 2003 and 2021. Patient information was identified from the Smile Train cleft charity organization, parents' reports, and hospital records (intake forms and operating room registries). RESULTS: Five patients were identified as having secondary cleft palate with palatal flap necrosis and associated with Furlow palatoplasty during patient evaluation at our center between 2003 and 2021. The observed prevalence was 1.54%. CONCLUSIONS: Palatal flap necrosis is a rare but serious complication after primary Furlow's palatoplasty. The occurrence of this complication can be reduced by careful preoperative planning, and prevention is possible.
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    Anesthetic Complications
    (2022-01-01)
    Percy Rossell‐Perry  
    ;
    Mision Noriega-Ambulodegui
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