The Effect of Botulinum Toxin Injection in Cleft Lip Repair
Background & Objectives: Cleft lip and palate are common congenital anomalies that require precise management with main component of repairing lip is the aesthetic outcome. Using botulinum toxin is new method to optimize the resultant scar. The aim of this study is to evaluate the effect of bot...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Kurdistan Higher Council Of Medical Specialties
2023-05-01
|
| Series: | Advanced Medical Journal |
| Subjects: | |
| Online Access: | https://amj.khcms.edu.krd/index.php/main/article/view/208 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850201573138890752 |
|---|---|
| author | Evan Nuri Bapir Jalal Hamasalih Fattah |
| author_facet | Evan Nuri Bapir Jalal Hamasalih Fattah |
| author_sort | Evan Nuri Bapir |
| collection | DOAJ |
| description |
Background & Objectives: Cleft lip and palate are common congenital anomalies that require precise management with main component of repairing lip is the aesthetic outcome. Using botulinum toxin is new method to optimize the resultant scar. The aim of this study is to evaluate the effect of botulinum toxin type A following cleft lip repair on resultant quality of scar.
Methods: This is a comparative study conducted in Rizgary teaching hospital and private hospitals in Erbil – Kurdistan region/Iraq between July 2018 and April 2021. A total of 38 patients with cleft lip were included; bilateral and unilateral, complete and incomplete, isolated cleft lip and cleft lip and palate, 20 of them received botulinum toxin injection. Preoperative and postoperative photos were documented. Scars were analysed one year following repair.
Results: Among 38 patients, in comparison of outcome of using botulinum toxin (31.6%) following cleft lip repair to patients did not receive the injection (68.4%), the scar quality was better; linear scar in botox group 100%, non-botox group 80.8%, complications were less; early complications in botox group 8.3%, non-botox group 11.5% and late complications in botox group 0% non-botox 7.7% and satisfaction was better; parents of botox group were 100% highly satisfied while for those of non-botox group 84.6% highly satisfied, 7.7% satisfied and 7.7% unsatisfied. There was significant difference between the two groups but statistically not significant.
Conclusion: Botulinum toxin injections into the subjacent orbicularis oris muscle following cleft lip repair produced better appearing and narrower cheiloplasty scars.
|
| format | Article |
| id | doaj-art-98e5ed55351b4d2c9c79d950a5809cd8 |
| institution | OA Journals |
| issn | 2958-8979 2957-3580 |
| language | English |
| publishDate | 2023-05-01 |
| publisher | Kurdistan Higher Council Of Medical Specialties |
| record_format | Article |
| series | Advanced Medical Journal |
| spelling | doaj-art-98e5ed55351b4d2c9c79d950a5809cd82025-08-20T02:11:58ZengKurdistan Higher Council Of Medical SpecialtiesAdvanced Medical Journal2958-89792957-35802023-05-018110.56056/amj.2023.208209The Effect of Botulinum Toxin Injection in Cleft Lip RepairEvan Nuri Bapir0Jalal Hamasalih Fattah1M.B.Ch.B. Rizgary Teaching Hospital, Erbil, Kurdistan region-IraqM.B.Ch.B. DGS, FIBMS (Plastic surg.), FEBOPRAS. ISAPS member, ASPS member Assistant Prof. in plastic surgery. Head of Plastic surgery unit/ College of medicine/ Hawler Medical University, Erbil-Iraq. Background & Objectives: Cleft lip and palate are common congenital anomalies that require precise management with main component of repairing lip is the aesthetic outcome. Using botulinum toxin is new method to optimize the resultant scar. The aim of this study is to evaluate the effect of botulinum toxin type A following cleft lip repair on resultant quality of scar. Methods: This is a comparative study conducted in Rizgary teaching hospital and private hospitals in Erbil – Kurdistan region/Iraq between July 2018 and April 2021. A total of 38 patients with cleft lip were included; bilateral and unilateral, complete and incomplete, isolated cleft lip and cleft lip and palate, 20 of them received botulinum toxin injection. Preoperative and postoperative photos were documented. Scars were analysed one year following repair. Results: Among 38 patients, in comparison of outcome of using botulinum toxin (31.6%) following cleft lip repair to patients did not receive the injection (68.4%), the scar quality was better; linear scar in botox group 100%, non-botox group 80.8%, complications were less; early complications in botox group 8.3%, non-botox group 11.5% and late complications in botox group 0% non-botox 7.7% and satisfaction was better; parents of botox group were 100% highly satisfied while for those of non-botox group 84.6% highly satisfied, 7.7% satisfied and 7.7% unsatisfied. There was significant difference between the two groups but statistically not significant. Conclusion: Botulinum toxin injections into the subjacent orbicularis oris muscle following cleft lip repair produced better appearing and narrower cheiloplasty scars. https://amj.khcms.edu.krd/index.php/main/article/view/208Botulinum toxinCleft lipCleft lip and palateCleft lip repair |
| spellingShingle | Evan Nuri Bapir Jalal Hamasalih Fattah The Effect of Botulinum Toxin Injection in Cleft Lip Repair Advanced Medical Journal Botulinum toxin Cleft lip Cleft lip and palate Cleft lip repair |
| title | The Effect of Botulinum Toxin Injection in Cleft Lip Repair |
| title_full | The Effect of Botulinum Toxin Injection in Cleft Lip Repair |
| title_fullStr | The Effect of Botulinum Toxin Injection in Cleft Lip Repair |
| title_full_unstemmed | The Effect of Botulinum Toxin Injection in Cleft Lip Repair |
| title_short | The Effect of Botulinum Toxin Injection in Cleft Lip Repair |
| title_sort | effect of botulinum toxin injection in cleft lip repair |
| topic | Botulinum toxin Cleft lip Cleft lip and palate Cleft lip repair |
| url | https://amj.khcms.edu.krd/index.php/main/article/view/208 |
| work_keys_str_mv | AT evannuribapir theeffectofbotulinumtoxininjectionincleftliprepair AT jalalhamasalihfattah theeffectofbotulinumtoxininjectionincleftliprepair AT evannuribapir effectofbotulinumtoxininjectionincleftliprepair AT jalalhamasalihfattah effectofbotulinumtoxininjectionincleftliprepair |