The Lima Surgical Protocol for Cleft Palate Repair
BACKGROUND: A cleft team experience addressing non-syndromic cleft palate and cleft lip and palate is presented. The purpose of the present study is to compare surgical outcomes using 2 different protocols for cleft palate repair provided by a cleft team in Lima, Perú. METHODS: This is a comparative...
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2020
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| author | Percy Rossell‐Perry Margot Luque-Tipula |
| author_browse | Margot Luque-Tipula Percy Rossell‐Perry |
| author_facet | Percy Rossell‐Perry Margot Luque-Tipula |
| author_sort | Percy Rossell‐Perry |
| collection | Producción científica |
| description | BACKGROUND: A cleft team experience addressing non-syndromic cleft palate and cleft lip and palate is presented. The purpose of the present study is to compare surgical outcomes using 2 different protocols for cleft palate repair provided by a cleft team in Lima, Perú. METHODS: This is a comparative study between 2 groups of patients with non-syndromic cleft palate who were operated using different surgical protocols from 1999 to 2014. One hundred twenty-four children with non-syndromic isolated cleft palate and cleft lip and palate treated from 2007 to 2014 using a surgical protocol developed by our cleft team in Lima, Perú were compared with 145 children with cleft palate and cleft lip and palate treated by the same team using different protocol from 1999 to 2007. Data collection was accomplished by evaluation of symptomatic oronasal fistulas, presence of velopharyngeal insufficiency (VPI) and postoperative complications. RESULTS: Statistical significant differences were observed between the 2 groups regarding the development of flap necrosis in favor of the Lima protocol. No significant difference in palatal fistula and VPI rate between the 2 protocols was found. CONCLUSIONS: The Lima Surgical Protocol for cleft palate repair is an alternative strategy which uses the strengths of different surgical techniques based on the severity of the cleft. We observed better surgical outcomes using the Lima protocol with regards to postoperative complications in patients with non-syndromic cleft palate. |
| format | Article |
| id | oai:cris.upeu.edu.pe:20.500.15037/1309 |
| institution | UPeU |
| language | English |
| publishDate | 2020 |
| publishDateRange | 2020 |
| publishDateSort | 2020 |
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| spelling | oai:cris.upeu.edu.pe:20.500.15037/13092026-10-30T16:15:33ZThe Lima Surgical Protocol for Cleft Palate RepairPercy Rossell‐PerryMargot Luque-TipulaMedicineVelopharyngeal insufficiencyDentistryProtocol (science)Hard palatePalatal obturatorSurgeryProsthesisPathologyAlternative medicineMedicineVelopharyngeal insufficiencyDentistryProtocol (science)Hard palatePalatal obturatorSurgeryProsthesisChild, PreschoolChild, PreschoolChild, PreschoolCleft Lip surgeryCleft Lip surgeryCleft Lip surgeryCleft Palate surgeryCleft Palate surgeryCleft Palate surgeryHumansHumansHumansNose Diseases surgeryNose Diseases surgeryNose Diseases surgeryPeruPeruPeruPostoperative Complications etiologyPostoperative Complications etiologyPostoperative Complications etiologyRetrospective StudiesRetrospective StudiesRetrospective StudiesVelopharyngeal Insufficiency etiologyVelopharyngeal Insufficiency etiologyVelopharyngeal Insufficiency etiologyOral Fistula surgeryOral Fistula surgeryOral Fistula surgeryTreatment OutcomeTreatment OutcomeTreatment OutcomePlastic Surgery Procedures methodsPlastic Surgery Procedures methodsPlastic Surgery Procedures methodsLife Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate ResearchHealth Sciences Medicine Surgery Head and Neck AnomaliesHealth Sciences Medicine Urology Urological Disorders and TreatmentsBACKGROUND: A cleft team experience addressing non-syndromic cleft palate and cleft lip and palate is presented. The purpose of the present study is to compare surgical outcomes using 2 different protocols for cleft palate repair provided by a cleft team in Lima, Perú. METHODS: This is a comparative study between 2 groups of patients with non-syndromic cleft palate who were operated using different surgical protocols from 1999 to 2014. One hundred twenty-four children with non-syndromic isolated cleft palate and cleft lip and palate treated from 2007 to 2014 using a surgical protocol developed by our cleft team in Lima, Perú were compared with 145 children with cleft palate and cleft lip and palate treated by the same team using different protocol from 1999 to 2007. Data collection was accomplished by evaluation of symptomatic oronasal fistulas, presence of velopharyngeal insufficiency (VPI) and postoperative complications. RESULTS: Statistical significant differences were observed between the 2 groups regarding the development of flap necrosis in favor of the Lima protocol. No significant difference in palatal fistula and VPI rate between the 2 protocols was found. CONCLUSIONS: The Lima Surgical Protocol for cleft palate repair is an alternative strategy which uses the strengths of different surgical techniques based on the severity of the cleft. We observed better surgical outcomes using the Lima protocol with regards to postoperative complications in patients with non-syndromic cleft palate.Articlehttps://pubmed.ncbi.nlm.nih.gov/3219583810.1097/scs.0000000000006331https://hdl.handle.net/20.500.15037/1309W3012492446enJournal of Craniofacial Surgery1049-22751536-37322020-03-172026-06-13T09:52:59Z2026-06-13T09:52:59Z |
| spellingShingle | Medicine Velopharyngeal insufficiency Dentistry Protocol (science) Hard palate Palatal obturator Surgery Prosthesis Pathology Alternative medicine Medicine Velopharyngeal insufficiency Dentistry Protocol (science) Hard palate Palatal obturator Surgery Prosthesis Child, Preschool Child, Preschool Child, Preschool Cleft Lip surgery Cleft Lip surgery Cleft Lip surgery Cleft Palate surgery Cleft Palate surgery Cleft Palate surgery Humans Humans Humans Nose Diseases surgery Nose Diseases surgery Nose Diseases surgery Peru Peru Peru Postoperative Complications etiology Postoperative Complications etiology Postoperative Complications etiology Retrospective Studies Retrospective Studies Retrospective Studies Velopharyngeal Insufficiency etiology Velopharyngeal Insufficiency etiology Velopharyngeal Insufficiency etiology Oral Fistula surgery Oral Fistula surgery Oral Fistula surgery Treatment Outcome Treatment Outcome Treatment Outcome Plastic Surgery Procedures methods Plastic Surgery Procedures methods Plastic Surgery Procedures methods Life Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate Research Health Sciences Medicine Surgery Head and Neck Anomalies Health Sciences Medicine Urology Urological Disorders and Treatments Percy Rossell‐Perry Margot Luque-Tipula The Lima Surgical Protocol for Cleft Palate Repair |
| title | The Lima Surgical Protocol for Cleft Palate Repair |
| title_full | The Lima Surgical Protocol for Cleft Palate Repair |
| title_fullStr | The Lima Surgical Protocol for Cleft Palate Repair |
| title_full_unstemmed | The Lima Surgical Protocol for Cleft Palate Repair |
| title_short | The Lima Surgical Protocol for Cleft Palate Repair |
| title_sort | lima surgical protocol for cleft palate repair |
| topic | Medicine Velopharyngeal insufficiency Dentistry Protocol (science) Hard palate Palatal obturator Surgery Prosthesis Pathology Alternative medicine Medicine Velopharyngeal insufficiency Dentistry Protocol (science) Hard palate Palatal obturator Surgery Prosthesis Child, Preschool Child, Preschool Child, Preschool Cleft Lip surgery Cleft Lip surgery Cleft Lip surgery Cleft Palate surgery Cleft Palate surgery Cleft Palate surgery Humans Humans Humans Nose Diseases surgery Nose Diseases surgery Nose Diseases surgery Peru Peru Peru Postoperative Complications etiology Postoperative Complications etiology Postoperative Complications etiology Retrospective Studies Retrospective Studies Retrospective Studies Velopharyngeal Insufficiency etiology Velopharyngeal Insufficiency etiology Velopharyngeal Insufficiency etiology Oral Fistula surgery Oral Fistula surgery Oral Fistula surgery Treatment Outcome Treatment Outcome Treatment Outcome Plastic Surgery Procedures methods Plastic Surgery Procedures methods Plastic Surgery Procedures methods Life Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate Research Health Sciences Medicine Surgery Head and Neck Anomalies Health Sciences Medicine Urology Urological Disorders and Treatments |
| topic_facet | Medicine Velopharyngeal insufficiency Dentistry Protocol (science) Hard palate Palatal obturator Surgery Prosthesis Pathology Alternative medicine Medicine Velopharyngeal insufficiency Dentistry Protocol (science) Hard palate Palatal obturator Surgery Prosthesis Child, Preschool Child, Preschool Child, Preschool Cleft Lip surgery Cleft Lip surgery Cleft Lip surgery Cleft Palate surgery Cleft Palate surgery Cleft Palate surgery Humans Humans Humans Nose Diseases surgery Nose Diseases surgery Nose Diseases surgery Peru Peru Peru Postoperative Complications etiology Postoperative Complications etiology Postoperative Complications etiology Retrospective Studies Retrospective Studies Retrospective Studies Velopharyngeal Insufficiency etiology Velopharyngeal Insufficiency etiology Velopharyngeal Insufficiency etiology Oral Fistula surgery Oral Fistula surgery Oral Fistula surgery Treatment Outcome Treatment Outcome Treatment Outcome Plastic Surgery Procedures methods Plastic Surgery Procedures methods Plastic Surgery Procedures methods Life Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate Research Health Sciences Medicine Surgery Head and Neck Anomalies Health Sciences Medicine Urology Urological Disorders and Treatments |
| url | https://pubmed.ncbi.nlm.nih.gov/32195838 https://hdl.handle.net/20.500.15037/1309 |
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