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Corresponding Author

Metwally, sultan

Document Type

Meta Analysis

Abstract

Background: A congenital cleft lip is a physical and psychological abnormality that occurs at birth. Following primary lip surgery, secondary cleft lips are prevalent and have a major detrimental effect on quality of life. Aim of the study: to investigate the best management for common secondary cleft lip deformities through Meta-analysis. Results: : complication observed in whistling deformity correction with abbe flap mainly in the form of postoperative edema, infection occurred in 3 cases with curved line method , conspicuous scars in 29 cases with abbe flap , hypertrophic scarring in 6 cases with curved- line method , smiling difficulties in 2 cases with whistle flap procedure , scabbing of malpositioned wet vermilion in only 1 case with whistle flap procedure ,lowest complications were founded in the form of pain and hematoma only in 1 case with fat grafting , and future minor cleft lip revisions in 5 cases with whistle flap procedure. Patients showed very good satisfaction after corrections in 97 cases with abbe flap and 21 cases with curved line or whistle flap. Lowest complications were founded in the form of pain and hematoma only in 1 case with fat grafting. In short lip, Complications founded were mainly in Diamond-Shaped Excision in 8 cases in the form of needing for scar revision. Conclusion: There is no differences of statistical importance as regard different methods of correction of each deformity and choice of method of correction depends mainly on good analysis of the presenting deformities and surgeon preference.

Keywords

secondary cleft lip; cleft lip; whistling deformity

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