Muhammad Ahmad.
Cleft lip repair under local anesthesia in adults.
J Surg Pak Jan ;13(4):170-2.

Objectives To evaluate the experience of cleft lip repair under local anaesthesia as a day care surgery. Study design: Descriptive study. Place & Duration of study: Aesthetic Plastic Surgery Center, Rawalpindi, Pakistan. Patients and Methods: All adult patients presenting with cleft lip were included in the study. They were operated under local anaesthesia. For unilateral clefts, Millard’s and Mohler’s repairs were done whereas for bilateral clefts, Manchester’s and Mulliken’s repairs were performed. Stitches were removed on 5th postoperative day. Steristrips were applied for 1 week after stitch removal. Results Thirty nine patients were operated for cleft lip. Female to male ratio was 1:1.8. Unilateral clefts with no cleft palate were the commonest (43.6%). Revision surgery was performed in 17.9% patients. No case of dehiscence or wound infection was observed. There was slight oedema of upper lip in 2 patients which subsided within 48 hours. No case of local bleeding was seen. Conclusions This study provides the experience of cleft lip repair under local anaesthesia. This option should be considered wherever possible.

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