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Current trends in the management of patients with cleft lip and cleft palate


Authors: Z. Marciová 1 ;  M. Zábavníková 1;  Erik Dosedla 2 ;  A. Koman 1
Authors place of work: ORL oddelenie, Detská fakultná nemocnica, Košice 1;  Gynekologicko-pôrodnícka klinika, Nemocnica Agel Košice-Šaca 2
Published in the journal: Otorinolaryngol Foniatr, 72, 2023, No. 4, pp. 191-196.
Category: Original Article
doi: https://doi.org/10.48095/ccorl2023191

Summary

Introduction: The paper deals with the management of patients with cleft lip and patients with cleft lip and palate since prenatal to postoperative period at ENT department of the Children‘s University Hospital in Košice. We discuss reasonable planning of surgical procedures with respect to anaesthetic care. Methods: We retrospectively analysed the clinical data of 144 patients. We performed a primary lip suture in a group of 70 patients and 74 patients underwent palatoplasty since 2015 to 2021. We evaluated a number of patients in different groups, age of patients in a time of surgery, gender ratio, occurrence of pathology and a type of surgery method. We compare our results with literature. Results: A group of 54 patients had primary lip suture for unilateral cleft lip and 16 patients for bilateral cleft lip. We noticed left cleft lip and palate as the most often pathology – 38 patients. The authors prefer early intervention in the case of cleft lip, while in the case of unilateral cleft lip they use the technique according to Millard mainly because of its universality. In the case of a bilateral cleft, they prefer the technique according to Black. Within a month, 55% of patients are operated on for unilateral and bilateral cleft lip. 78% of patients with cleft palate are operated on within a year with two-lobe plastic surgery according to Bardach, most often in the period 7–9 month. Conclusion: Patients with cleft lip and cleft lip and palate usually undergo multiple surgeries during their lifetime. Reasonable planning and reduction the number of general anaesthesia by combining procedures is important. Multidisciplinary collaboration is necessary to ensure comprehensive care.

Keywords:

cleft lip – cleft palate – primary lip suture – palatoplasty


Zdroje

1. Bánsky R. Rázštepy – clefts. Bratislava: Slovak Academic Press 2017.

2. Shkoukani MA, Chen M, Vong A. Cleft lip – a comprehensive review. Front Pediatr 2013; 1: 53. Doi: 10.3389/fped.2013.00053.

3. Borský J, Hubáček M, Kozák J et al. Rozštěpy rtu a patra, plánování počáteční fáze léčby a interdisciplinární péče u pacientů v novorozeneckém a batolecím věku. Čes Stomatol Prakt Zubní Lék 2012; 112 (1): 14–20.

4. Kapeller K, Pospíšilová V. Embryológia človeka: učebnica pre lekárske fakulty. Martin: Osveta 2001.

5. Matějková E, Kordasová A, Lukáčová I. Typický rozštěp rtu a patra v 2D ultrasonografii. Ceska Gynekol 2020; 85 (5): 309–313.

6. Jian-Min Y, Jing-Hong X. Atlas of Cleft Lip and Palate and Facial Deformity Surgery. Shanghai: Springer, 2020.

7. Zábavníková M. Možnosti chirurgickej liečby jednostranných rázštepových chýb pery a podnebia: dizertačná práca. Košice 2005.

8. Rezaei P, Poorjavad M, Abdali H. Speech outcomes after palatal closure in 3-7-year- -old children. Braz J Otorhinolaryngol 2022; 88 (4): 594–601. Doi: 10.1016/j.bjorl.2020.08. 005.

9. Jurovčík M. Borský J, Dytrych P et al. První příznaky sekretorické otitidy u novorozenců operovaných pro rozštěpovou vadu – záchyt v desetiletém souboru. Otorinolaryngol Foniatr 2020; 69 (2): 55–61.

10. Vyas T, Gupta P, Kumar S et al. Cleft of lip and palate: A review. J Family Med Prim Care 2020; 9 (6): 2621–2625. Doi: 10.4103/jfmpc.jfmpc_472_20.

11. Dvořák Z, Horník P. Funkční výsledky pacientů s rozštěpem patra v letech 1993–2006 na Moravě III – ORL výsledky. Čes slov Pediat 2019; 74 (6): 339–348.

Štítky
Audiology Paediatric ENT ENT (Otorhinolaryngology)

Článok vyšiel v časopise

Otorhinolaryngology and Phoniatrics

Číslo 4

2023 Číslo 4

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