Abstract:
Introduction Modern treatments still aim to keep the impact of surgical intervention low and the outcome of surgeries as good as a surgeon can. Assessing the long-term nasolabial appearance of patients who underwent cleft lip (CL) repair surgery is one of the methods of evaluating the outcomes of cleft surgery. Methods This is a retrospective cross-sectional descriptive study of data records of unilateral CL patients. The data records of all patients who underwent unilateral CL repair by the reconstructive science unit at Hospital Universiti Sains Malaysia (HUSM) within the first two years of their lives and whose current age is 14 years or above were accessed and analyzed. Results The data records of 50 patients were analyzed, including 13 (26%) males and 37 (74%) females. The surgeons opined that 28% of the patients had an acceptable nasolabial appearance, while there were 10 (20%) patients whose nasolabial appearance was considered unacceptable by the reviewing surgeons. Fifteen (30%) patients were described as having an acceptable lip appearance with secondary nasal deformity, and 11 (22%) patients had an acceptable nasal appearance with secondary lip deformity. There were no surgical modifications or postoperative complications among the patients. None of our variables reported a significant association with long-term nasolabial appearance. Conclusion The long-term evaluation of the nasolabial appearance in individuals with CL following surgical correction significantly improves the service and care provided to patients to achieve optimum results. Although our results showed no relationship between gender, age at operation, type or diagnosis of cleft, and family history and long-term nasolabial appearance, frequent assessments will enhance surgical results.
摘要:
介绍现代治疗仍然旨在保持低的手术干预的影响和手术的结果尽可能好的外科医生可以。评估接受唇裂(CL)修复手术的患者的长期鼻唇外观是评估唇裂手术结果的方法之一。方法对单侧CL患者的资料记录进行回顾性横断面描述性研究。访问并分析了所有在生命的头两年内由马来西亚附属医院重建科学部门(HUSM)接受单侧CL修复且当前年龄为14岁或以上的患者的数据记录。结果对50例患者的数据记录进行分析,包括13名(26%)男性和37名(74%)女性。外科医生认为28%的患者有可接受的鼻唇沟外观,而有10例(20%)患者的鼻唇沟外观被检查的外科医生认为是不可接受的。15例(30%)患者被描述为具有可接受的嘴唇外观伴有继发性鼻畸形,11例(22%)患者的鼻外观可接受,继发唇畸形。患者中没有手术修改或术后并发症。我们的变量均未报告与长期鼻唇外观有显着关联。结论手术矫正后对CL患者鼻唇沟外观的长期评估显着改善了为患者提供的服务和护理,以达到最佳效果。虽然我们的结果显示性别之间没有关系,手术年龄,裂隙的类型或诊断,家族史和长期鼻唇沟外观,频繁的评估将提高手术效果。