Evaluation of the Effect of Fat Grafting in the Correction of Secondary Cleft Lip Deformities | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Article 8, Volume 49, Issue 2, April 2025, Pages 135-148 PDF (1.96 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2025.425146 | ||
| Authors | ||
| Amr A Zaki* ; Hamed M. Kadry* ; HAYTHAMA A ALMALAHEY; Mamadouh Abol Hassan; Ahmed Samy; Shaimaa Mostafa* | ||
| The Department of Plastic Surgery, Faculty of Medicine, Cairo University | ||
| Abstract | ||
| Background: The individual with a cleft lip will require several surgical procedures during the patient early life. It is critical to prioritize treatment of secondary abnormalities and therefore reduce the number of necessary interventions. Objective: Fat grafting represents a minimally invasive technique, and we aimed to evaluate the effect of fat grafting in correcting secondary deformities post cleft lip repair. Patients and Methods: This prospective clinical trial includes 30 patients with secondary deformities post cleft lip repair. This study was conducted at Kasr El-Ainy, Cairo University Hospitals, Plastic Surgery Department, between October 2019 and May 2021. All patients received a fat injection to the lip and were evaluated using pre and postoperative ultrasonography and photo graphometry (image J), the Vancouver scar scale, and the patient satisfaction questionnaire. Results: There were statistically significant differences in scar width in bilateral cases (right scar 4.1062 Vs 3.7923) (left scar 3.7985 Vs 3.5146) and lip thickness in both unilateral and bilateral cases using ultrasonography, and statistically significant differences in scar width, vermilion Hight, and nasolabial angle by photograph meter, and statistically significant difference in preoperative and postoperative Vancouver scar scale, with overall very good patient satisfaction. Conclusions: Fat injection should be considered a therapeutic option in managing secondary lip deformities, particularly the volume deficiency, mild to moderate vermilion notching, and wide depressed scars, as it is a simple procedure with minimal and almost no complications. | ||
| Keywords | ||
| Cleft lip; Fat grafting; Photographometer | ||
| References | ||
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