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Cirugía Plástica

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2006, Number 1

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Cir Plast 2006; 16 (1)

Skin stitchless cleft lip repair

León PJA
Full text How to cite this article

Language: Spanish
References: 6
Page: 19-23
PDF size: 241.16 Kb.


Key words:

Cleft lip, skin stitches, surgical technique.

ABSTRACT

A modified suture technique to repair cleft lip is proposed. The traditional technique to repair cleft lip and cleft palate consists of placing non-absorbable suture stitches. These stitches are removed, from 4 to 7 days after surgery. The procedure for removal consists of sedating the patient or firmly holding the patient’s head to avoid movements while the stitches are removed. This procedure avoids causing skin injury and bleeding, which increases swelling and scaring of the tissue, closing with simple Poliglactin 910, 5-0 suture stitches under the dermis in 287 patients over a period of 3 years. This procedure does not require the use of sedatives to remove lip sutures. This method reduces anxiety in the patient’s family as the curing of the wound is carried out easily.


REFERENCES

  1. Trigos MI, Guzmán ME. Análisis de la incidencia, prevalencia y atención de labio y paladar hendido en México. Cir Plast 2003; 13: 35-39.

  2. Trigos MI, Ysunza A, Yudovich BM. Labio y paladar hendidos, consideraciones generales y orientación quirúrgica. En: Coiffman F. Cirugía plástica, reconstructiva y estética. 2ª Ed. Salvat Bogotá: 1994; Vol. II: 1553.

  3. Millard DR. Cleft craft I. Boston: Little Brown & Co. 1976: 264, 456, 463, 480, 483.

  4. Millard DR. Cleft craft: The evolution of its surgery. Boston: Little Brown & Co. 1980.

  5. Millard DR. Principalization of plastic surgery cleft craft I. Boston: Little Brown, & Co. 1986: 10, 292.

  6. McComb H. Primary correction of cleft lip nasal deformity: A ten year review. Plast Reconstr Surg 1985; 75: 791.




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Cir Plast. 2006;16