Explore the latest advancements in surgical procedures with our in-depth analysis on “Rhinoplasty and Le Fort I Maxillary Osteotomy in Cleft Patients”. Uncover how these innovative techniques are revolutionizing cleft patient treatment, enhancing recovery, and contributing to the broader field of surgery.
– by The Don
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Rhinoplasty and Le Fort I Maxillary Osteotomy in Cleft Patients.
Harjunpää et al., J Craniofac Surg 2023
DOI: 10.1097/SCS.0000000000009873
Listen folks, we’ve got a situation here with cleft patients. They often need this thing called orthognathic surgery to fix maxillary hypoplasia and rhinoplasty to correct nasal deformity. Now, rhinoplasty can be done after the orthognathic surgery or at the same time with maxillary osteotomy. It’s a big decision, believe me.
We’ve got these authors, very smart people, who looked into the need for and complications of staged and simultaneous rhinoplasties in patients with different cleft types undergoing maxillary osteotomy. They studied 99 patients, 54 of them were females, with cleft lip/palate who had undergone Le Fort I maxillary advancement or bimaxillary osteotomy. That’s a lot of people, folks.
Now, here’s the thing: of these patients who underwent maxillary osteotomy, 45% needed rhinoplasty. That’s almost half, folks. And there’s a significant difference in the need for rhinoplasty between different cleft types. Those with BCLP and UCLP needed the most operations, 60% and 53% respectively.
In 20% of the patients, rhinoplasty was performed at the same time with maxillary osteotomy, and in 25% it was done in a second operation after osteotomy. The overall complication rate? 14%. Not too bad, right? And guess what, there’s no difference in complication rate in patients with or without simultaneous rhinoplasty.
So, to sum it up, of cleft patients who underwent maxillary osteotomy, 45% needed rhinoplasty. Patients with BCLP and UCLP needed rhinoplasty most often. Staged and simultaneous procedures were almost equally common with similar complication rates. That’s the story, folks.