School of Medicine, San Martin de Porres University, Edgardo Rebagliatti Hospital.
Qorito Organization Lima Perú, Post Graduate Studies Department, Faculty of Medicine, San Martin de Porres University, Lima, Peru.
J Craniofac Surg. 2020 Sep;31(6):1533-1538. doi: 10.1097/SCS.0000000000006331.
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.
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.
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.
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.
介绍了一个唇腭裂治疗团队在非综合征性腭裂和唇腭裂治疗方面的经验。本研究的目的是比较利马腭裂治疗团队在秘鲁使用两种不同腭裂修复方案的手术结果。
这是一项比较研究，比较了两组非综合征性完全性腭裂患者，他们在 1999 年至 2014 年期间使用不同的手术方案进行治疗。124 名患有非综合征性单纯性腭裂和唇腭裂的儿童于 2007 年至 2014 年期间使用我们在利马的腭裂治疗团队制定的手术方案进行治疗，与 145 名患有腭裂和唇腭裂的儿童进行比较，这些儿童在 1999 年至 2007 年期间使用不同的方案由同一团队治疗。通过评估症状性口鼻瘘、存在软腭功能不全（VPI）和术后并发症来完成数据收集。
两组之间在瓣坏死的发生方面存在统计学显著差异，利马方案更有利。两种方案之间在腭裂瘘和 VPI 发生率方面没有发现显著差异。
利马腭裂修复手术方案是一种替代策略，它根据腭裂的严重程度利用了不同手术技术的优势。我们观察到使用利马方案在非综合征性腭裂患者的术后并发症方面具有更好的手术结果。
