Resumen

ORTEGA LARA, José. Tratamiento quirúrgico de la hendidura labial en las primeras 24 horas del nacimiento. Rev Obstet Ginecol Venez [online]. 2015, vol.75, n.4, pp.232-241. ISSN 0048-7732.

Objective: To evaluate the results of the surgery in the first 24 hours of life in children with cleft lip. Methods: We present a series of 40 patients in the last twenty (20) years, operated for cleft lip under local anesthesia in the first 24 hours of life. Prior to surgery we evaluate the physical conditions and laboratory analysis of the newborn, confirming that there was no element of importance on physical examination or hematology and blood chemistry figures, which contraindicate the completion of surgery. Results: We found in patients in a state of relaxation that favored performing surgery and hemoglobin, which ranged between 16 and 19.58 g of red blood cells exceeded 5 million x mm³. All operated patients underwent preoperative evaluation by the neonatologist who reported figures for weight, length and head circumference within normal limits. In none of the cases associated pathology was reported. From 6 months to age of 15 years old it was found normal growth lip, nose and jaw segments, with satisfactory aesthetic and functional results. Conclusion: Cleft lip surgery in the first 24 hours of birth under local anesthesia is a challenge for surgeons who are engaged in this type of surgery and its early implementation has multiple advantages.

Palabras clave : Cleft lip; Cheiloplasty.

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