EARLY CLEFT LIP REPAIR: A LONG TERM FOLLOW-UP
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Highlights:
- Early cleft repair benefits patients by reconstructing near-normal lip anatomy that persists after ten to fifteen years.
- The early procedure did not result in muscular or maxillary hypoplasia in long-term follow-ups; rather, development occurred in tandem with normal growth.
Abstract:
Introduction: Published reports on the long-term outcomes of cleft lip surgery within the Indonesian population are limited, especially for those treated early in the neonatal period. This study presents follow-up data on early-managed cases, aiming to objectively evaluate the long-term results of such management.
Case Illustration: A newborn with a complete unilateral cleft lip and palate had surgery on day two, achieving a symmetrical lip and nasal base. At 12 months, cleft palate surgery was performed. Fifteen years later, the patient sought a lip revision, expressing satisfaction with the results and opting against further procedures. Case 2: Another newborn with an incomplete cleft underwent surgery on day five, followed by palate repair at 12 months. Ten years later, the parents reported satisfaction with the outcomes and no desire for further revisions.
Discussion: The discussion focused on the merit of early management and no negative impact on muscular and maxillary growth.
Conclusion: The positive effects of early management through muscle management were observed in the long-term follow-up, as shown in these two reported cases.
Sundoro A, Hilmanto D, Soedjana H, Lesmana R, Harianti S. Epidemiology of cleft lip and palate charity mission surgery at Bandung Cleft Lip and Palate Center, Indonesia: a 14-year institutional review. Archives of Craniofacial Surgery. 2024;25(2):62–70. DOI:10.71 81/acfs.2023.00416
Anggraini S. Clinical Evaluation of 51 Patients with Cleft Lip and/or Palate in Social Work at Hospital. Journal of Syntax Literate. 2024;9(6):3473–8. DOI: 10.36 418/syntaxliterate.v9i6
Sundoro A, Hilmanto D, Soedjana H, Lesmana R, Suryadinata KL. Cleft lip and palate surgery during COVID-19 pandemic in Indonesia: a 36-month experience at the Bandung Cleft Lip and Palate Center. Archives of Craniofacial Surgery. 2023;24(3):111–116. DOI: 10. 7181/acfs.2023.00213
Rizal S, Amirsyah M, Putra R, Razali R, Putra D. Profile of post operative cleft lip and palate in Aceh cleft lip and palate center period of November 2018 - October 2019. Jurnal Kedokteran Syiah Kuala. 2022;Ed Khusus: 1–5. DOI:10.24815/jks.v0i0.29693
Datusanantyo R, Hutagalunng M, Rizaliyana S. Modified Cleft Lip Evaluation Profile (MCLEP) Index for Unilateral Cleft Lip Repair Outcome Assessment in Surabaya CLP Center. Jurnal Rekonstruksi & Estetik, 2020; 5(1):6–12. DOI: 10.20473/jre.v5i1. 24316
Datusanantyo RA, Hutagalung MR, Rizaliyana S, Marzoeki D. Anthropometric Outcome of Primary Unilateral Cleft Lip Repair in Indonesia. The Cleft Palate-Craniofacial Journal, 2021; 58(10): 1236–11. DOI: 10.1177/105566562 0982757
Deki F, Hatibie M, Oley MCh, Langi FG. Evaluasi Hasil Labioplasti Menggunakan Skor CLEFT-Q. e-CliniC. 2021;9(2):561–567. DOI: 10.35790 /ecl.v9i 2.35939
Sumardi S, Latief BS, Kuijpers-Jagtman AM, Ongkosuwito EM, Bronkhorst EM, Kuijpers MAR. Long-term follow-up of mandibular dental arch changes in patients with complete non-syndromic unilateral cleft lip, alveolus, and palate. Peer J. 2021;9:1–20. DOI: 10.7717 /peerj.12643
Millard DR Jr. Optimum time for cleft lip surgery. In: Millard DRJ, editor. Cleft Craft. The Evolution of Its Surgery: The Unilateral Deformity. Boston: Little Brown and Co. Vol.1. 1976. p. 73.
Mink van der Molen AB, van Breugel JMM, Janssen NG, Admiraal RJC, van Adrichem LNA, Bierenbroodspot F, et al. Clinical practice guidelines on the treatment of patients with cleft lip, alveolus, and palate: An executive summary. Journal of clinical medicine. 2021;10(21):1–14. DOI: 10.3390/jcm10214813
Ministry of Health, Republic of Indonesia. Keputusan Menteri Kesehatan Republik Indonesia [Decree of the Minister of Health, Republic of Indonesia] No. HK01.07/Menkes/321/2019. Jakarta, Indonesia: Kementerian Kesehatan RI; 2019 p. 1–44. Available at: https://paralegal.id/peraturan/keputusan-menteri-kesehatan-nomor-hk-01-07-menkes-321-2019/
Hammoudeh JA, Imahiyerobo TA, Liang F, Fahradyan A, Urbinelli L, Lau J, et al. Early Cleft Lip Repair Revisited: A Safe and Effective Approach Utilizing a Multidisciplinary Protocol. Plastic and Reconstructive Surgery–Global Open. 2017 Jun 1;5(6): 1–9. DOI:10.1097/GOX.0 00000000000 1340
Sandberg D, Magee W, Denk M. Neonatal Cleft Lip and Cleft Palate Repair. AORN Jounal. 2002; 75(3): 490–499. DOI:10.1016/S0001-2092 (06)61171-X
Roohani I, Trotter C, Shakoori P, Moshal TA, Lasky S, Manasyan A, et al. Lessons Learned from a Single Institution’s Eight Years of Experience with Early Cleft Lip Repair. Medicina (Lithuania). 2023;59(10): 1741. DOI:10.3390/medicina59101 741
Wlodarczyk JR, Wolfswinkel EM, Liu A, Fahradyan A, Higuchi E, Goel P, et al. Early Cleft Lip Repair: Demonstrating Efficacy in the First 100 Patients. Plastic and reconstructive surgery. 2022; 150(5): 1073–80. DOI:10.1097/PRS.000000 0000009634
Kondra K, Stanton E, Hammoudeh J. Rethinking the Rule of 10s: Early Cleft Lip Repair Improves Weight Gain. The Cleft Palate Craniofacial Journal. 2012. 60(3): 306-312. DOI:10.1177/1055 6656211062042
Liu A, Wlodarczyk J, Fahradyan A, Urata M, Hammoudeh J. The Effect of Early Cleft Rhinoplasty on Nasal Molding. Journal of Oral and Maxillofacial Surgery. 2020; 78(10): e60. DOI: 10.1016/j.joms.20 20.07.120
Millard DRJ. Increasing vertical length of celft edges. In: Millard DR Jr, editor. Cleft Craft. The Evolution of Its Surgery: The Unilateral Deformity. Boston: Little Brown and Co. 1976. Vol.1.p. 97.
Moenadjat Y. Tata laksana dini Berorientasi sistem muskularis [Early management oriented towards the musculoskeletal system]. editor. Jakarta: Departemen Klinik Ilmu Bedah Fakultas Kedokteran Universitas Indonesia; 2021.
Bennun RD, Genecov D. Unilateral cleft lip and nose repair. In: Bennun RD, Harfin JF, Sandor GK, Genecov D, editors. Cleft lip and palate management A comprehensive atlas. New Jersey: Wiley Blackwell; 2016. p. 113–42. DOI:10.1002/97811190508 58.ch9
Alonso N and Raposo-Amaral C. Unilateral Cleft Lip Repair. In: Alonso N, Raposo-Amaral C, editors. Cleft Lip and Palate Treatment: A Comprehensive Guide. Cham, Switzerland: Springer International Publishing AG; 2018. p. 83–110. DOI:10.1007/978-3-319-63290-2
Tse RW, Fisher DM. Unilateral Cleft Lip Repair: Anatomic Subunit Approximation Technique. In: Global Cleft Care in Low-Resource Settings. Swanson, JW. Springer Nature Switzerland; 2021. p. 129–141. DOI:10.1007/978-3-030-59 105-2_13
Strenacikova V, Malina R. Primary Repair of Cleft Lip and Nose in the Neonatal Period. Acta Medica Martiniana. 2018; 18(1): 42–8. DOI:10.2478/acm-2018-0006
Millard DR Jr. The original advancement gradually changes. In: Millard DR Jr, editor. Cleft Craft. The Evolution of Its Surgery: The Unilateral Deformity. Boston: Little Brown and Co.1976. 1: 235.
Tse R. Unilateral cleft lip: Principles and practice of surgical management. In Seminars in plastic surgery. 2012;4:145-155. Thieme Medical Publishers. DOI:10.1055/s-003 3-1333884
Millard DR Jr. The evolution of the rotation and the elevation of Flap c. In: Millard DR Jr, editor. Cleft Craft. The Evolution of Its Surgery: The Unilateral Deformity. Boston: Little Brown and Co. 1976. 1:217.
Ogimoto M, Yokota Y, Isomura ET, Tanaka S, Kogo M. 3D morphological changes of the lip and face in patients with cleft lip and alveolus: The comparison of the lip development of incomplete and complete cleft lips under 3 months of age. Oral Science International. 2023; DOI: 10.1002/osi2.1219
Piccinini PS, Girelli P, Dias GF, Chedid GB, Ramos RFM, Uebel CO, et al. History of plastic surgery: Sir Harold Gillies, a pioneer of reconstructive plastic surgery. Revista Brasileira de Cirurgia Plástica, 2017; 32(4): 608–15. DOI:10.59 35/2177-1235.2017RBCP 0099
Thompson JF. Harold Gillies, pioneer of modern plastic surgery, and Donald Morton, pioneer of modern surgical oncology: Master problem-solvers and surgical role models.Journal of Plastic, Reconstructive & Aesthetic Surgery. 2023; 87: 24–32. DOI:10.1016/j.bjps.2023.09. 047
Elkalla H, Awad SM, Sadakah AA, Elhousseiny AY. Effect of Cleft Palate Repair Using Alveolar Extension Palatoplasty Technique on Eruption of Primary Teeth. Mansoura Journal of Dentistry. 2021;8:36–40.
Agrawal K. Cleft palate repair and variations. Indian Journal of plastic surgery. 2009; 42(S01): S102-S109. DOI:10.1055/s-0039-1699382
Carstens MH. Alveolar Extension Palatoplasty_ The Role of Developmental Field Reassignment in the Prevention of Sequential Vascular Isolation and Growth Arrest. In: Carstens MH, editor. The Embryologic Basis of Craniofacial Structure. Cham: Springer International Publishing; 2023. p. 1307–1387. DOI:10.1007/978-3-031-15636-6_15
Salyer KE, Rozen SM, Genecov ER, and Genecov DG. Unilateral cleft lip-approach and technique. In Seminars in plastic surgery, 2005. 19(4):313-328. Copyright© 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. DOI: 10.1055/s-2005-925904
Lee MK, Yen SLK, and Allareddy V. Hospitalization outcomes of cleft lip repair in neonates across the United States. The Cleft Palate-Craniofacial Journal. 2018; 55(4): 528–35. DOI:10.1177/ 105566561772653
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