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Ass. Lect. ahmed mohamed mahmoud al-hewity :: Publications:

Title:
Repair of AQ5 the complete cleft lip and hard palate with vomerine flap versus cleft lip repair only in unilateral complete cleft lip and palate
Authors: Hossam Abd Alhaya, Aboubakr El Shafiea, Salah Nasserb, Ahmed Shehataa, Ahmed Alhewitya
Year: 2017
Keywords: simultaneous repair, unilateral complete cleft lip and palate, vomerine flap
Journal: Not Available
Volume: Not Available
Issue: Not Available
Pages: Not Available
Publisher: Not Available
Local/International: International
Paper Link: Not Available
Full paper ahmed mohamed mahmoud al-hewity_bmfj_65_16R2.pdf
Supplementary materials Not Available
Abstract:

Aim The aim of the work was to study the effect of repair of cleft lip alone and repair of AQ8 cleft lip with simultaneous repair of cleft hard palate with vomerine flap in unilateral complete cleft lip and palate (UCCLP). Patients and methods This study was carried out on 20 patients with UCCLP. Patients were classified into two groups: group A included 10 patients treated with simultaneous repair of the cleft lip with repair of alveolus and anterior portion of hard palate with vomerine flap, and after 12 weeks patients underwent repair of cleft soft palate; group B included 10 patients treated with cleft lip repair only, and after 12 weeks patients underwent repair of entire cleft hard and soft palates. Results Patient’s age in group A ranged from 3 to 7 months (mean age: 4.65 months), whereas patient’s age in group B ranged from 3 to 6 months (mean age: 4.55 months), with male predominance of about 65% (13) patients in the study. The mean operation time for group A was 81 min, whereas for group B it was 46.5 min. The mean reduction of the cleft alveolar gap between first and second operation in group A was 3.95 mm, whereas in group B it was 2.25 mm. Group A developed two cases of minor hemorrhage stopped with compression, one case of oronasal fistula of small size, and a case of whistle deformity, whereas in group B there was one case of massive hemorrhage stopped with cauterization and two cases of large oronasal fistula. Conclusion This study found that simultaneous repair of cleft lip and hard palate using vomerine flap in patients with UCCLP is a suitable and effective procedure, as it reduces cleft alveolar gap significantly and reduces the chance of complications and oronasal fistula formation.

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