Immediate fat grafting in primary cleft lip repair

摘要: Summary Background Successful cleft lip repair creates symmetric nasolabial morphology with minimal scar. Fat grafting is used in cosmetic and reconstructive settings to provide contour, condition tissue aid healing. This study employs immediate fat concurrent primary repair. We hypothesize that simultaneous transfer safe may optimize the result. Methods retrospective analysis included a series of consecutive infants who underwent grafting. Demographic peri-operative details were recorded. Post-operative photographs analyzed by three blinded reviewers (Al-Omari et al. Asher-McDade et al.). Kappa statistics employed assess inter-rater reliability (Randolph Watkins MW). Results 30 children, 37 sides (13 left, 10 right, 7 bilateral; 62% complete, 38% incomplete) at Yale included. 20 Mean age was 3.5 mo (range 1.5–6.4). hand suctioned from thighs (15 left; 2 right; 3 both) mean yield 2.1 cc 1–5 cc). An average 1.4 cc 0.5–2.5 cc) injected philtrum, vermillion, piriform ala. No complications experienced repair, harvest or graft injection. follow-up 24.7 months 12.4–60.2 months). Postoperative photographic assessment revealed residual stigmata reliability. Each ordinal score statistically significant compared grafted repairs those without ( p Conclusions Simultaneous can be performed safely. The augmentation modulation scar formation results. Prospective comparison necessary further corroborate our findings. Level evidence Therapeutic (Level IV).