Department of Oral and Maxillofacial Surgery, Lagos University Teaching Hospital (LUTH), Idi-Araba.
Department of Oral and Maxillofacial Surgery, College of Medicine, University of Lagos, Lagos.
J Craniofac Surg. 2021;32(2):670-674. doi: 10.1097/SCS.0000000000007179.
Among the several factors implicated in the occurrence of local surgical site complications following cleft lip repair is the initial width of the cleft. The aim of the study was to examine the effect of cleft width in the occurrence of immediate local surgical site complications.
All consecutive subjects with diagnosis of unilateral or bilateral cleft lip with or without cleft palate who presented at the cleft clinic and satisfied the inclusion criteria were recruited in the study. The width of the cleft lip defect as adopted for the study was measured from the peak of the Cupid bow on the non-cleft side to a point where the white roll begins to thin out on the cleft side. Measurement was done using a Vernier Calliper. Surgery was performed under general anesthesia after which subjects were evaluated for the presence or absence of immediate local surgical site complications which included dehiscence, infection, and vermillion notching of the lip.
A total of 70 subjects consisting of 36 (51.4%) males and 34 (48.6%) females were included in the study. Mean age (±SD) was 9.0 ± (19.4) months with age range of 3 months to 13 years. The prevalence of early surgical site complications was 24.3%. The width of cleft above a critical level (14 mm) statistically correlate significantly with the occurrence of early surgical site complications (P = 0.048).
This study showed that the width of cleft lip of and above critical level of 14 mm may be associated with a clinically significant risk of immediate local surgical site complications.
在影响唇裂修复后局部手术部位并发症发生的几个因素中，裂的初始宽度是一个因素。本研究旨在探讨裂宽度对即刻局部手术部位并发症发生的影响。
所有在唇裂诊所就诊且符合纳入标准的单侧或双侧唇裂伴或不伴腭裂的连续患者均被纳入本研究。本研究采用的裂唇缺损宽度是从非裂侧的丘比特弓峰到裂侧的白色滚轴开始变薄的点进行测量。测量使用游标卡尺进行。全身麻醉下进行手术，然后评估受试者是否存在即刻局部手术部位并发症，包括裂开、感染和唇红缘切迹。
共有 70 名患者纳入研究，其中男性 36 名（51.4%），女性 34 名（48.6%）。平均年龄（±标准差）为 9.0±（19.4）个月，年龄范围为 3 个月至 13 岁。早期手术部位并发症的发生率为 24.3%。裂宽度超过临界水平（14mm）与早期手术部位并发症的发生显著相关（P=0.048）。
本研究表明，裂唇宽度超过 14mm 的临界水平可能与即刻局部手术部位并发症的临床显著风险相关。
