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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Khan, Mansoor (Plastic and Burn Surgery Unit, Khyber Teaching Hospital) Ullah, Hidayat (Plastic and Reconstructive Surgery Department, Hayatabad Medical Complex) Aziz, Asif (Plastic and Burn Surgery Unit, Khyber Teaching Hospital) Tahir, Muhammad (Plastic and Reconstructive Surgery Department, Hayatabad Medical Complex)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제43권 제3호
발행연도
2016.1
수록면
248 - 253 (6page)

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Background Financial, clinical, and psychological considerations have made same-day surgery an attractive option for a variety of procedures. This article aimed to analyse the postoperative results of same-day primary unilateral cleft nasolabial repair. Methods This study was performed from 2011 to 2014. Unilateral cleft lip patients fulfilling the inclusion criteria were preoperatively classified as mild, moderate, and severe. All patients underwent same-day surgery and were discharged after satisfying the appropriate clinical criteria, receiving thorough counselling, and the establishment of a means of communication by phone. Postoperative outcomes were assessed and stratified according to preoperative severity and the type of repair. Results A total of 423 primary unilateral cleft lip patients were included. Fisher's anatomical subunit approximation technique was the most common procedure, followed by Noordhoff's technique. The postoperative outcome was good in 89.8% of cases, fair in 9.9% of cases, and poor in 0.2% of cases. The complication rate was 1.18% (n=5), and no instances of mortality were observed. The average hospital stay was 7.5 hours, leading to a cost reduction of 19% in comparison with patients who stayed overnight for observation. Conclusions Mild unilateral cleft lip was the most common deformity for which Fisher's anatomical subunit approximation technique was performed in most of the cases, with satisfactory postoperative outcomes. Refinements in the cleft rhinoplasty techniques over the course of the study improved the results regarding cleft nasal symmetry. Single-day primary unilateral cleft cheiloplasty was found to be a cost-effective procedure that did not pose an additional risk of complications.
#Cleft lip #Rhinoplasty #Day care

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참고문헌 (12)

참고문헌 신청
Shapira Y / 2014 / Prevalence of non-syndromic orofacial clefts among Jews and Arabs, by type, site, gender and geography: a multi-center study in Israel / Isr Med Assoc J 16:759~763 google schola Kling RR / 2014 / Oral clefting in china over the last decade: 205,679 patients / Plast Reconstr Surg Glob Open 2:e236 google schola Elahi MM / 2004 / Epidemiology of cleft lip and cleft palate in Pakistan / Plast Reconstr Surg 113:1548~1555 google schola Abdurrazaq TO / 2013 / Surgical outcome and complications following cleft lip and palate repair in a teaching hospital in Nigeria / Afr J Paediatr Surg 10:345~357 google schola Molsted K / 1999 / Treatment outcome in cleft lip and palate: issues and perspectives / Crit Rev Oral Biol Med 10:225~239 google schola

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