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CC BY-NC 4.0 · Arch Plast Surg 2016; 43(03): 248-253
DOI: 10.5999/aps.2016.43.3.248
Original Article

Outcomes of Primary Unilateral Cheiloplasty in Same-Day Surgical Settings

Mansoor Khan
Plastic and Burn Surgery Unit, Khyber Teaching Hospital, Peshawar, Pakistan
,
Hidayat Ullah
Plastic and Reconstructive Surgery Department, Hayatabad Medical Complex, Peshawar, Pakistan
,
Asif Aziz
Plastic and Burn Surgery Unit, Khyber Teaching Hospital, Peshawar, Pakistan
,
Muhammad Tahir
Plastic and Reconstructive Surgery Department, Hayatabad Medical Complex, Peshawar, Pakistan
› InstitutsangabenWe would like to thank Dr. Alamzeb Khan for his extraordinary support and for contributing the illustrations.
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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.

Keywords

Cleft lip - Rhinoplasty - Day care


Publikationsverlauf

Eingereicht: 14. August 2015

Angenommen: 15. Februar 2016

Artikel online veröffentlicht:
20. April 2022

© 2016. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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