Postoperative wound management after cleft lip surgery.
OBJECTIVE
Our aim was to describe the postoperative management and wound care protocol after primary cleft lip closure, as it has been used in the Bruges Cleft and Craniofacial Center at the supraregional teaching hospital AZ St. Jan, Bruges, between June 1, 1991, and July 1, 2009.


METHODS
The postoperative management and wound care included the use of a Logan bow, long-acting local anesthetic, elbow restraints, antibiotic therapy, crust removal with normal saline solution, and a special local wound ointment that was prepared at our center.


RESULTS
During the last 19 years, 199 unilateral and 103 bilateral cleft lip patients have been repaired. 2.6% showed postoperative infection and/or dehiscence. One percent required readmission for reoperation. In 1.6%, inflammatory reaction was treated with oral antibiotics.


CONCLUSIONS
The specific wound dressing ointment, as it is prepared in our department, could meet the requirements of primary wound management after cleft lip closure.
Nagy
Krisztián
K
Mommaerts
Maurice Y
MY
D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001458:Bandages; D002971:Cleft Lip / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009824:Ointments / Q000627:therapeutic use*; D011182:Postoperative Care; D011183:Postoperative Complications / Q000628:therapy*; D013529:Surgical Wound Dehiscence / Q000628:therapy; D058106:Wound Closure Techniques; D014945:Wound Healing / Q000502:physiology*
D000900:Anti-Bacterial Agents; D009824:Ointments