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[Bilateral cleft lip and palate: experience from a center with a multidisciplinary approach]. / Fisura labiopalatina bilateral: experiencia de un centro con abordaje multidisciplinar.
Parri, F J; Soares-Oliveira, M; García Aparicio, L; Sancho, M A; Sarget, R; Morales, L.
Afiliación
  • Parri FJ; Servicio de Cirugía Pediátrica, Unidad Integrada Hospital Sant Joan de Déu-Hospital Clínic, Universidad de Barcelona, Barcelona.
Cir Pediatr ; 14(3): 124-6, 2001 Jul.
Article en Es | MEDLINE | ID: mdl-11547634
The aim of this work is to analyse the global experience of a center where a pluridisciplinar approach of the child affected with a cleft lip and palate is regularly done. Since january 1980 until january 2000, a total of 36 children (8 F, 28 M) with bilateral cleft lip and palate were treated. Only 5 children were born at this hospital. The others (n = 31) were referred soon after birth (24/31) or later for treat sequels. A multidisciplinary team evaluated every case. The parameters analysed were: surgical protocol, aesthetic and speech outcome, hearing disturbance, complications and the number of secondary lip surgeries. Surgical approach consisted on a soft palate closure before 3 months follow by a bilateral cheiloplasty (6 months) and a hard palate closure before 4 years of age, in the majority of cases (24/36). The esthetical result was evaluated in 25 children and was acceptable in the great majority (22/25). 16 children were submitted to tympanic draining in order to treat their secretory otitis. Speech outcome was analysed in 27 children and was good in 23. With a follow-up of 8.4 years, 15 children (8 treated soon on this center and 7 that came for their sequels) were treated for complications. There was a media of 4.5 surgeries per children.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Labio Leporino / Fisura del Paladar Límite: Child, preschool / Female / Humans / Infant / Male Idioma: Es Revista: Cir Pediatr Asunto de la revista: PEDIATRIA Año: 2001 Tipo del documento: Article Pais de publicación: España
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Labio Leporino / Fisura del Paladar Límite: Child, preschool / Female / Humans / Infant / Male Idioma: Es Revista: Cir Pediatr Asunto de la revista: PEDIATRIA Año: 2001 Tipo del documento: Article Pais de publicación: España