Evaluation the effect of fat grafting in the correction of secondary cleft lip deformities | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 19 October 2024 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2024.322572.1379 | ||
| Authors | ||
| Amr Ahmed Zaki1; Hamed Kadry2; Haytham Almalahy3; Ahmed Samy4; Mamdouh Aboelhassan5; Shaimaa Mostafa GAD* 6 | ||
| 1Lecturer of plastic and reconstructive surgery, department of plastic and reconstructive surgery, faculty of medicine, Cairo University | ||
| 2Professor of plastic surgery cairo university faculty of medcinie | ||
| 3Faculty of medcine cairo university | ||
| 4Lecturer of plastic surgery cairo university faculty of medcinie | ||
| 5Cairo university faculty of medcine | ||
| 6Plastic surgery Cairo university faculty of medicine elkasralainy | ||
| Abstract | ||
| Background The individual with a cleft lip will require several surgical procedures during his or her early life. It is critical to prioritize treatment of secondary abnormalities and therefore reduce the number of necessary interventions. Fat grafting represents a minimally invasive technique, and we aimed to evaluate the effect of fat grafting in correcting secondary deformities post cleft lip repair. Methods: This prospective clinical trial includes 30 patients with secondary deformities post cleft lip repair. This study was conducted at Kasr El-Ainy, Cairo University Hospitals, Plastic Surgery Department, between October 2019 and May 2021. All patients received a fat injection to the lip and were evaluated using pre and postoperative ultrasonography and photographometry (image J), the Vancovour scar scale, and the patient satisfaction questionnaire. Results: There were statistically significant differences in scar width in bilateral cases ( right scar4.1062 Vs3.7923) (left scar3.7985 Vs3.5146) and lip thickness in both unilateral and bilateral cases using ultrasonography, and statistically significant differences in scar width, vermilion hight, and nasolabial angle by photographometer, and statistically significant difference in preoperative and postoperative Vancovour scar scale, with overall very good patient satisfaction. Conclusions: Fat injection should be considered a therapeutic option in managing secondary lip deformities, particularly the volume deficiency, mild to moderate vermilion notching, and wide depressed scars, as it is a simple procedure with minimal and almost no complications | ||
| Keywords | ||
| Cleft lip; Fat grafting; Photographometer | ||
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