What We Learned from Performing the Inverse Malek Procedure to Repair Bilateral Cleft Lips and Palates: A Single-Center Retrospective Study
<b>Background</b>: This study reviews the surgical and functional outcomes of children diagnosed with a bilateral cleft lip and palate and treated by the same surgical team following specific surgical protocols 18 years after surgery and during the follow-up. <b>Methods</b>:...
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| Format: | Article |
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MDPI AG
2024-03-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/13/7/1939 |
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| author | Karim Al-Dourobi Tessa Mermod Marie-Thérèse Doan Georges Herzog Martin Broome Oumama El Ezzi Anthony de Buys Roessingh |
| author_facet | Karim Al-Dourobi Tessa Mermod Marie-Thérèse Doan Georges Herzog Martin Broome Oumama El Ezzi Anthony de Buys Roessingh |
| author_sort | Karim Al-Dourobi |
| collection | DOAJ |
| description | <b>Background</b>: This study reviews the surgical and functional outcomes of children diagnosed with a bilateral cleft lip and palate and treated by the same surgical team following specific surgical protocols 18 years after surgery and during the follow-up. <b>Methods</b>: Based on a single-center retrospective design, demographic and surgical data were gathered by the authors from international institutions. Most of the data were quantitative in nature, and descriptive statistical and non-parametric tests were employed for analysis. All children born with a bilateral cleft from 1982 to 2002 were considered. Children affected by a syndrome were excluded. Complications and speech results were the main items measured. <b>Results:</b> Thirty patients were selected; 73.3% were treated using the inverse Malek procedure, and 26.7% underwent a modified two-stage procedure. Seventy percent developed an oronasal fistula. An alveolar bone graft was performed in 83%, and 53.3% underwent Le Fort osteotomy. Thirty-six percent required a pharyngeal flap, with good speech results. The median number of times general anesthesia was used among all the interventions considered was 5.5 (4.25–6). <b>Conclusions:</b> This study presents the long-term results of using the inverse Malek procedure to treat children with a bilateral cleft lip and palate. It is shown that this is related to a high risk of developing a fistula, but has good long-term speech results. |
| first_indexed | 2024-04-24T10:41:15Z |
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| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-04-24T10:41:15Z |
| publishDate | 2024-03-01 |
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| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-72ac16b12e3948f8b251fc0015ccd5d62024-04-12T13:21:05ZengMDPI AGJournal of Clinical Medicine2077-03832024-03-01137193910.3390/jcm13071939What We Learned from Performing the Inverse Malek Procedure to Repair Bilateral Cleft Lips and Palates: A Single-Center Retrospective StudyKarim Al-Dourobi0Tessa Mermod1Marie-Thérèse Doan2Georges Herzog3Martin Broome4Oumama El Ezzi5Anthony de Buys Roessingh6Plastic, Reconstructive and Hand Surgery Service, Lausanne University Hospital, University of Lausanne, CH-1011 Lausanne, SwitzerlandPlastic, Reconstructive and Hand Surgery Service, Lausanne University Hospital, University of Lausanne, CH-1011 Lausanne, SwitzerlandChildren and Adolescent Surgery Department, Multidisciplinary Consultations of Facial Cleft, Lausanne University Hospital, University of Lausanne, CH-1011 Lausanne, SwitzerlandChildren and Adolescent Surgery Department, Multidisciplinary Consultations of Facial Cleft, Lausanne University Hospital, University of Lausanne, CH-1011 Lausanne, SwitzerlandChildren and Adolescent Surgery Department, Multidisciplinary Consultations of Facial Cleft, Lausanne University Hospital, University of Lausanne, CH-1011 Lausanne, SwitzerlandChildren and Adolescent Surgery Department, Multidisciplinary Consultations of Facial Cleft, Lausanne University Hospital, University of Lausanne, CH-1011 Lausanne, SwitzerlandChildren and Adolescent Surgery Department, Multidisciplinary Consultations of Facial Cleft, Lausanne University Hospital, University of Lausanne, CH-1011 Lausanne, Switzerland<b>Background</b>: This study reviews the surgical and functional outcomes of children diagnosed with a bilateral cleft lip and palate and treated by the same surgical team following specific surgical protocols 18 years after surgery and during the follow-up. <b>Methods</b>: Based on a single-center retrospective design, demographic and surgical data were gathered by the authors from international institutions. Most of the data were quantitative in nature, and descriptive statistical and non-parametric tests were employed for analysis. All children born with a bilateral cleft from 1982 to 2002 were considered. Children affected by a syndrome were excluded. Complications and speech results were the main items measured. <b>Results:</b> Thirty patients were selected; 73.3% were treated using the inverse Malek procedure, and 26.7% underwent a modified two-stage procedure. Seventy percent developed an oronasal fistula. An alveolar bone graft was performed in 83%, and 53.3% underwent Le Fort osteotomy. Thirty-six percent required a pharyngeal flap, with good speech results. The median number of times general anesthesia was used among all the interventions considered was 5.5 (4.25–6). <b>Conclusions:</b> This study presents the long-term results of using the inverse Malek procedure to treat children with a bilateral cleft lip and palate. It is shown that this is related to a high risk of developing a fistula, but has good long-term speech results.https://www.mdpi.com/2077-0383/13/7/1939bilateral cleftMalekoronasal fistulapharyngeal flapspeech |
| spellingShingle | Karim Al-Dourobi Tessa Mermod Marie-Thérèse Doan Georges Herzog Martin Broome Oumama El Ezzi Anthony de Buys Roessingh What We Learned from Performing the Inverse Malek Procedure to Repair Bilateral Cleft Lips and Palates: A Single-Center Retrospective Study Journal of Clinical Medicine bilateral cleft Malek oronasal fistula pharyngeal flap speech |
| title | What We Learned from Performing the Inverse Malek Procedure to Repair Bilateral Cleft Lips and Palates: A Single-Center Retrospective Study |
| title_full | What We Learned from Performing the Inverse Malek Procedure to Repair Bilateral Cleft Lips and Palates: A Single-Center Retrospective Study |
| title_fullStr | What We Learned from Performing the Inverse Malek Procedure to Repair Bilateral Cleft Lips and Palates: A Single-Center Retrospective Study |
| title_full_unstemmed | What We Learned from Performing the Inverse Malek Procedure to Repair Bilateral Cleft Lips and Palates: A Single-Center Retrospective Study |
| title_short | What We Learned from Performing the Inverse Malek Procedure to Repair Bilateral Cleft Lips and Palates: A Single-Center Retrospective Study |
| title_sort | what we learned from performing the inverse malek procedure to repair bilateral cleft lips and palates a single center retrospective study |
| topic | bilateral cleft Malek oronasal fistula pharyngeal flap speech |
| url | https://www.mdpi.com/2077-0383/13/7/1939 |
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