Analysis of Complications in Primary Cleft Lips and Palates Surgery

作者：Zhaoqiang Zhang, Silian Fang, Qingbin Zhang, Lei Chen, Yarui Liu, Kefeng Li, Yan Zhao · 发表于：Journal of Craniofacial Surgery · 年份：2014 · DOI：10.1097/scs.0000000000000832 · 被引用次数：49 · 研究领域：Cleft Lip and Palate Research、Folate and B Vitamins Research、History of Medical Practice

INTRODUCTION: A series of retrospectively recorded patients with cleft lip and palate was uniquely investigated to demonstrate and analyze the complications after cleft repairing operations in a selected Chinese population. MATERIAL AND METHODS: From January 2005 to January 2012, a selected group of 2100 patients with cleft lip and/or palate who have complete records were chosen from a large sample in the units. Complete data were retrieved, including sex, age, clinical classification, surgical modality, complications, and follow-up results. The complications were classified into 2 categories: early and long-term complications. After surgery, most patients with cleft lip remained in the hospital for 7 days and cleft palate repairs for 10 days. A standard regimen of antibiotics was administered for 3 to 5 days clinically. RESULTS: Of the 2100 patients, there were 1360 males and 760 females who had congenital cleft deformity with complete clinical records in the department of oral and maxillofacial surgery. The age distribution was as follows: 1600 patients in the group of 3 months to 2 years, 320 patients in the group of 2 to 10 years, 130 patients in the group of 11 to 19 years, and 50 patients in the group of older than 20 years. As to the treatment modality, cleft lips were repaired by rotation advancement method with various minor modifications or Tennison modality. The cleft palates were closed using the von Langenbeck, Veau/Wardill/Kilner, or Furlow technique. The overal...