Outcomes of Fisher Technique for Unilateral Incomplete Cleft Lip Repair
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Published:2023-09-27
Issue:2
Volume:29
Page:129-135
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ISSN:2079-0694
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Container-title:Annals of King Edward Medical University
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language:
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Short-container-title:Annals KEMU
Author:
Saeed Sana,Khan Farid Ahmad,Jan Saadia Nosheen,Shakeel Zara,Bilal Bismah,Bashir Muhammad Mustehsan
Abstract
Background:-
Cleft lip repair is imperative for a child’s physical and mental well-being. Fisher’s innovative technique adds versatility to conventional methods with optimal aesthetic results. An inconspicuous scar along the anatomical subunits is a hallmark of this procedure.
Objective: This study aimed to evaluate the outcomes of Fisher technique for unilateral incomplete cleft lip.
Methods:-
This Quasi experimental study was conducted at the Plastic Surgery Department, Mayo Hospital Lahore from 2017 to 2021. 50 consecutive patients with primary unilateral incomplete cleft lip were included in the study. Qualitative analysis was performed using Steffensen Grading Criteria 9. Improvement in pre-operative and post-operative anthropometric ratios was also analyzed. Symmetry of repaired cleft to normal cleft side was also assessed 9,12 .
Results:-
Mean age of patients was 4.14±0.72 months. Parent’s satisfaction score on the Likert scale was 4.84±0.37 (Mean ±SD). Significant improvement in anthropometric parameters (vertical lip height, vermilion height, nostril width and nostril height) except lip width was recorded. Significant symmetry was achieved for all parameters (p-value less than 0.05) except nasal height ratio (p- value=0.071). Good results were also achieved on all parameters according to Steffensen criteria.
Conclusion:-
Fisher anatomical subunit repair is a reliable option for unilateral incomplete cleft lip repair producing aesthetically pleasing results.
Publisher
Annals of King Edward Medical University
Subject
Industrial and Manufacturing Engineering,Metals and Alloys,Strategy and Management,Mechanical Engineering