Unilateral cleft lip: evaluation and comparison of treatment outcome with two surgical techniques based on qualitative (subject/guardian and professional) assessment
Adetayo Adekunle Moses, Adetayo Modupe Olushola, Adeyemo Wasiu Lanre, James Olutayo O., Adeyemi Michael O.,
소속 상세정보
( Adetayo Adekunle Moses ) - Babcock University Benjamin Carson School of Medicine Department of Surgery
( Adetayo Modupe Olushola ) - Babcock University Benjamin Carson School of Medicine Department of Biochemistry
( Adeyemo Wasiu Lanre ) - Lagos University Teaching Hospital Department of Oral/Maxillofacial Surgery
( James Olutayo O. ) - Lagos University Teaching Hospital Department of Oral/Maxillofacial Surgery
( Adeyemi Michael O. ) - Lagos University Teaching Hospital Department of Oral/Maxillofacial Surgery
Abstract
Objectives: The outcomes of the treatment of unilateral cleft lip can vary considerably due to variations in repair techniques. The aim of this study was to evaluate and compare treatment outcomes of surgical repair of unilateral cleft lip using either the Tennison?Randall or Millard technique based on (qualitative) parent/subject and professional assessments.
Materials and Methods: This was a prospective, randomized, controlled study conducted at Lagos University Teaching Hospital between January 2013 and July 2014. A total of 56 subjects with unilateral cleft lip presenting for primary surgery who satisfied the inclusion criteria were recruited for the study. Subjects were randomly allocated to surgical groups A or B through balloting. Group A underwent cleft repair with the Tennison?Randall technique, while group B underwent cleft repair with the Millard rotation advancement technique. Surgical outcome was assessed using qualitative evaluation by the guardian/subject and independent assessors based on a modified form of the criteria described by Christofides and colleagues.
Results: Of the 56 subjects enrolled in this study, 32 were male, with a male to female ratio of 1.3:1. Fifteen of the guardians/subjects in the Tennison?Randall group were most bothered about the lower part of the residual lip scar, while 12 guardians/subjects in the in the Millard group were most bothered about the upper part of the scar. More noses were judged to be flattened in the Millard group than in the Tennison?Randall group. Assessors observed a striking disparity in scar transgression of the philtral ridges between the two groups.
Conclusion: Essentially, there were no major difference in the overall results between Millard rotation-advancement and Tennison?Randall repairs. Both Millard and Tennison?Randall’s techniques require significant improvements to improve the appearance of the scar on the upper part and lower part of the lip, respectively.
키워드
Unilateral cleft lip; Repair techniques; Evaluation of surgical outcome
원문 및 링크아웃 정보
등재저널 정보