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  Česky / Czech version ACTA CHIRURGIAE PLASTICAE, 49, 4, 2007, pp. 83–87
 
OUR FIRST EXPERIENCE WITH PRIMARY LIP REPAIR IN NEWBORNS WITH CLEFT LIP AND PALATE 
Borský J.1, Tvrdek M.1, Kozák J.2, Černý M.3, Zach J.4 

1 Plastic Surgery Clinic, 3rd Medical Faculty and Faculty Hospital Královské Vinohrady, Charles University, Prague, 2 Pediatric Stomatology Clinic, 2nd Medical Faculty and Faculty Hospital Motol, Charles University Prague, 3 Obstetric and Gynecology Clinic, Department of Newborns with Intensive Care Unit, Faculty Hospital Motol, Prague, and 4 Newborn Department with Intensive Care, Thomayer Faculty Hospital, Krč, Prague, Czech Republic
 


Summary:

       The article summarizes the results of early primary lip repair in 44 newborns with cleft lip and palate. We present a study of the first 44 patients to undergo the surgery before the age of 1 week as performed by a surgeon who used a modified method according to Tennison with a nasal correction. Early lip surgeries started in 2005. Cleft patients are under the care of a multidisciplinary team. Preliminary results are very encouraging; we observed excellent esthetic results concerning lip scars and the appearance of the nose. We did not notice any impact on the maxillary development due to the short time interval. We consider early lip surgery with nasal correction the best method, and we would like to continue with it, monitoring its impact on the maxillary and nasal development.

        Key words: cleft lip and palate, operations in newborns
       

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