Rethinking the Rule of 10s: Early Cleft Lip Repair Improves Weight Gain (original) (raw)

The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2021

Abstract

OBJECTIVE This study compares patients undergoing early cleft lip repair (ECLR) (<3-months) and traditional lip repair (TLR) (3-6 months) with/without nasoalveolar molding (NAM) to evaluate the effects of surgical timing on weight gain in hopes of guiding future treatment paradigms. DESIGN Retrospective review. SETTING Children's Hospital of Los Angeles, California. PATIENT, PARTICIPANTS A retrospective chart review evaluated patients who underwent ECLR or TLR ± NAM from November 2009 through January 2020. INTERVENTIONS No intervention was performed. MAIN OUTCOME MEASURE(S) Patient demographics, birth and medical history, perioperative variables, and complications were collected. Infant weights and age-based percentiles were recorded at birth, surgery, 8-weeks, 6-months, 12-months, and 24-months postoperatively. The main outcomes were weight change and weight percentile amongst ECLR and TLR ± NAM groups. RESULTS 107 patients met inclusion criteria: ECLR, n = 51 (47.6%); TLR +...

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