Cleft Lip and Palate Correction: The Utah Protocol.

IF 1.5 Q3 SURGERY

Plastic and Reconstructive Surgery Global Open Pub Date : 2024-11-08 eCollection Date: 2024-11-01 DOI:10.1097/GOX.0000000000006298

Andrea Battistini, Jessica Lee Marquez, Jack Scaife, Lucia Collar, Erinn Kim, Dana Johns, Duane Yamashiro, Barbu Gociman

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引用次数: 0

Abstract

Background: Cleft repair remains a contentious issue in craniofacial surgery, especially regarding the optimal timing and techniques. This study aims to present our institutions' current protocol for cleft lip and palate repair, including alveolar bone grafting (ABG).

Methods: A total of 17 patients (20 clefts) treated with the latest protocol from 2016 to 2023 were evaluated. Demographic and clinical data were obtained from electronic charts. The protocol includes lip repair at 3 months, soft palate repair at 1 year, and hard palate closure with concurrent ABG at 2 years.

Results: Mean graft height and thickness scores were 2.3 and 2.2, respectively. Three clefts showed scores marginally below the threshold for thickness, potentially requiring regrafting. Malocclusion was minimal with no significant crossbites or velopharyngeal insufficiency.

Conclusions: Our modified protocol, emphasizing early hard palate closure with ABG, yields satisfactory outcomes in terms of graft height and thickness. Although long-term follow-up is warranted, our approach seems safe and efficient, potentially improving outcomes compared with traditional methods.

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唇腭裂矫正：犹他州协议

背景：唇裂修复仍是颅颌面外科中一个有争议的问题，尤其是在最佳时机和技术方面。本研究旨在介绍我院目前的唇腭裂修复方案，包括牙槽骨移植术（ABG）：方法：对2016年至2023年期间采用最新方案治疗的17例患者（20例唇腭裂）进行了评估。人口统计学和临床数据来自电子病历。该方案包括 3 个月的唇修复、1 年的软腭修复和 2 年的硬腭闭合并同时进行 ABG：结果：移植物高度和厚度的平均得分分别为 2.3 分和 2.2 分。三个裂隙的厚度评分略低于阈值，可能需要重新植骨。错牙合畸形极少，没有明显的交叉咬合或包咽功能不全：我们的改良方案强调早期硬腭闭合与ABG，在移植物高度和厚度方面取得了令人满意的结果。虽然还需要长期随访，但与传统方法相比，我们的方法既安全又有效，有望改善疗效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Plastic and Reconstructive Surgery Global Open SURGERY-

CiteScore

2.20

自引率

13.30%

发文量

1584

审稿时长

10 weeks

期刊介绍： Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.