Online ISSN: 2515-8260

Keywords : cleft lip

Endotracheal intubation in Cleft surgeries: A Comparison between Macintosh Laryngoscope and McGrath Mac Videolaryngoscope

Dr. Navaneetha Krishnan Srinivasan MBBS, MD, DNB; Dr. A Ajay Sriram MBBS, MD; Dr. Pradeep Karunagaran MBBS, MD; Dr.Porchelvan Swaminathan M.Sc,PhD,MBA, PGDCA; Dr. P U Abdul Wahab BDS, MDS

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 2, Pages 1974-1981

Background: In recent anaesthesia practice, videolaryngoscopy is gradually replacing conventional Macintosh laryngoscopy in adult and paediatric patients particularly in difficult intubation scenario. In this study, we compared McGrath Mac videolaryngoscope and conventional Macintosh laryngoscope for laryngoscopy and endotracheal intubation in cleft lip and palate surgeries.
Aim: To compare and assess the ease of placement of endotracheal tube in cleft lip and palate surgeries using McGrath Mac videolaryngoscope and Macintosh laryngoscope.  Methods: Sixty children less than 5 years of age, belonging to ASA (American Society of Anesthesiologists) I and II category, who were posted for cleft lip and palate repair were included in the study. They were randomly divided into two groups of 30 each. In group I, Macintosh laryngoscope was used for laryngoscopy and endotracheal intubation and in Group II, McGrath Mac videolaryngoscope was used. Parameters like range of visibility of  vocal cords (Cormack Lehane in Group I vs Fremantle score in Group II), requirement of external laryngeal manipulation (ELM), time taken for intubation and haemodynamic changes were assessed.Results: The time taken for endotracheal intubation was significantly higher in Group II (20.10±2.83s in Group I vs 24.57±3.52s in Group II, p<0.001). Requirement of ELM was significantly higher in Group I (24/30 vs 2/30, p < 0.001). The heart rates recorded at 1 min, 3 mins and 5 mins of laryngoscopy were significantly higher in Group I (139.7±12.06, 128.47±9.1, 119.37±8.96 vs 125.90±12.24, 120.00±8.35 and 113.03±9.76 in Group II respectively). Cormack Lehane gradings were comparable in both the groups. Conclusion: Laryngoscopy with McGrath VL significantly prolongs intubation time compared to conventional Macintosh laryngoscope in cleft lip and palate surgeries. The requirement for external laryngeal manipulation was less with McGrath VL and also less tachycardia was observed with McGrath VL than Macintosh laryngoscope.

The aesthetic out come of primary Cheilo-Rhinoplasty

Ehab Wagdy Ragy; Raafat Abd Allatif Anany; Ahmed Abohashim Azzab; Mohammed Ali Nasr

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 2, Pages 346-354

The earliest procedure in unilateral cleft lip nose management was concenterated by Victor Veau in his book at 1938. He used simple coaptation of the margins of the cleft after they had been surgically exposed. The results obtained with this technique were unfortunately consistently bad for many reasons but mainly because of poor surgical reconstruction of the labial musculature. Through the principles done by Veau and more recently by Delaire, there has been a re-appraisal to concept of primary cheilorhinoplasty in unilateral cleft lip management. Senior cleft surgeons as Millard, McComb and Salyer provided encouraging results after reviewing the long term results of simultaneous repair. They proved that there was no interruption of growth by early surgery and reported stable results up to 18 years after surgery


Malavika P; Dr. L. keerthi Sasanka; Kavitha S; Dr. Kiran kumar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 1658-1667

Cleft lip or cleft palate are the openings or splits in the upper lip of the roof of the mouth or both. Cleft lip
/ palate affects approximately 1 in 700 live births. Most clefts are likely caused by multiple genetic and non genetic factors. Cleft lip and cleft palate are the most common congenital defects of birth. Cleft lip and cleft palate occurs in the forms of syndromic and non syndromic. Prosthodontic rehabilitation aims at providing a better oral health by aiming to improve functional and esthetic demands. Patients suffering from cleft palate are not seen generally much but their number is not negligible as well. The aim of the present study is to study and analyze the knowledge of prosthodontic rehabilitation of cleft lip and cleft palate patients among undergraduate dental students and to create an awareness on this topic. A questionnaire was created and circulated on an online platform and the responses were collected . The datas were collected and analysed with the help of statistical software SPSS. The data collection software used is google forms . The steps followed in software analysis are data collection, data analysis and data interpretation. The results show that most respondents were aware of prosthodontic rehabilitation of cleft lip and cleft palate patients among dental students. The chi square test shows that most of the female respondents are more aware about prosthodontic rehabilitation of cleft lip and cleft palate patients.