Primary surgical care of cleft lip and palate patients

Document Type : Original Article

Authors

Department of Plastic Surgery, Faculty of Medicine, Sohag University.

Abstract

Social factors and gender of patients with cleft lip and palate have a major impact in the medical and surgical care yet this impact is not fully reviewed. The aim of the present study was to investigate if there is any difference between males and females in the primary surgical treatment of cleft lip and palate patients and the delayed presentation of cases with cleft lip and palate.
This is a retrospective study of 343 patients with total number of 720 primary surgical procedures, Each procedure categorized into primary lip and primary palate repair. Then the age of first surgical procedure is then analyzed and compared according to gender of patients. The result of our study show that there is no statistically significant differences in the number of primary surgeries or the age of first operation but the mean of the age of first operation is higher than our protocol for primary repair. This study give an alert about the care given to cleft patients with delayed primary repair of cleft patients.

1.  Hersh PS, Fry KL, Bishop DS. Incidence and associations of retreatment after LASIK. Ophthalmology. 2003;110:748-754.
2.  Thibos LN, Hong X, Bradley A, Applegate RA. Accuracy and precision of objective refraction from wavefront aberrations. J Vis. 2004;4:329-351.
3.] Refraction. In: Basic and Clinical Science Course, 1995-96. San Francisco, Calif: American Academy of Ophthalmology; 1995.Francisco, Calif: American Academy of Ophthalmology; 1995.
4. Atchison DA. Comparison of peripheral refractions determined by different instruments. Optom Vis Sci. 2003;80:655-660.
5. Howland HC. High order wave aberration of eyes. Ophthalmic Physiol Opt. 2002;22:434-439.
6. Guirao A, Williams DR. A method to predict refractive errors from wave aberration data. Optom Vis Sci. 2003;80:36–42.
7. Cheng X, Thibos L, Bradley A. Estimating visual quality from wavefront aberration measurements. J Refract Surg. 2003;19:S579–S584.         
8. Thibos LN, Applegate RA, Marcos S. Aberrometry: The past, present, and future of optometry. Optom Vis Sci. 2003;80:1–2.
9.  Cheng X, Himebaugh N, Kollbaum PS, et al. Validation of a clinical Shack-Hartmann aberrometer. Optom Vis Sci. 2003;80:587–595.
10.  Cervin˜o A, Hosking SL, Rai GK, Naroo SA, Gilmartin B. Wavefront analyzers induce instrument myopia. J Refract Surg 2006;22:795Y803.
11.  McGinnigle S, Naroo SA, Eperjesi F. Evaluation of the autorefraction function of the Nidek OPD-Scan III. ClinExpOptom.
12.  Pesudovs K, Parker KE, Cheng H, Applegate RA. The precision of wavefront refraction compared to subjective refraction and autorefraction. Optom Vis Sci 2007;84:387Y92.
13.  Yeung IY, Mantry S, Cunliffe IA, Benson MT, Shah S. Correlation of Nidek OPD-Scan objective refraction with subjective refraction. J Refract Surg 2004;20:S734Y-6.
14.  Nayak PK, Ghose S, Singh JP. A comparison of cycloplegic and manifest refractions on the NR-100OF (an objective Auto Refractometer). BrJOphthalmol 1987;71(1):73-5.
15.  RotsosT, D Grigoriou, AKokkolaki, N Manios. A comparison of manifest refractions, cycloplegic refractions and retinoscopy on the RMA-3000 autorefractometer in children aged 3 to 15 years. Clinical Ophthalmology 2009:3429–431.
16.  Jung JW, Chung BH, Han SH, Kim EK, Seo KY, Kim TI. Comparison of Measurements and Clinical Outcomes After Wavefront-Guided LASEK Between iDesign and WaveScan. J Refract Surg. 2015 Jun;31(6):398-405.
17. Perez-Straziota CE, Randleman JB, StultingRD. Objective and subjective preoperative refraction techniques for wavefront-optimized and wavefront-guided laser insitukeratomileusis. J Cataract Refract Surg 2009; 35: 256-259.
18. Zhu R., K.-L. Long, X.-M.Wu, Q.-D. Li. Comparison of the VISX wavescan and OPD-scan III with the subjective refraction .2016; 20:2988-2992.
19. Salmon TO, West RW, Gasser W, Kenmore T. Measurement of refractive errors in young myopes using the COAS Shack-Hartmann aberrometer. Optom Vis Sci 2003;80:6Y14.