Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제45권3호
  • /
  • Pages.141-151
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  • 2019
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  • 2234-7550(pISSN)
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  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
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Unilateral cleft lip: evaluation and comparison of treatment outcome with two surgical techniques based on qualitative (subject/guardian and professional) assessment

  • Adetayo, Adekunle Moses (Department of Surgery, Benjamin Carson School of Medicine, Babcock University) ;
  • Adetayo, Modupe Olushola (Department of Biochemistry, Benjamin Carson School of Medicine, Babcock University) ;
  • Adeyemo, Wasiu Lanre (Oral and Maxillofacial Surgery, Department of Surgery, Lagos University Teaching Hospital) ;
  • James, Olutayo O. (Oral and Maxillofacial Surgery, Department of Surgery, Lagos University Teaching Hospital) ;
  • Adeyemi, Michael O. (Oral and Maxillofacial Surgery, Department of Surgery, Lagos University Teaching Hospital)
  • 투고 : 2018.07.20
  • 심사 : 2018.10.16
  • 발행 : 2019.06.30
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초록

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.

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참고문헌

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피인용 문헌

  1. Cleft Lip/Nasal Deformities After Plastic Surgery for Unilateral Cleft Lip/Palate: A Prospective Study at a Large Hospital in Vietnam vol.13, 2019, https://doi.org/10.2147/ccide.s320636
  2. Sagittal Jaw Relationship of Different Types of Cleft and Non-cleft Individuals vol.9, 2019, https://doi.org/10.3389/fped.2021.651951
  3. Influence of Unilateral Cleft Lip Configuration on Long-Term Facial Averageness: A New Three-Dimensional Analysis Approach vol.23, pp.2, 2021, https://doi.org/10.1089/fpsam.2020.0154