title: One-Stage Cleft Lip and Palate Repair in an Older Population.
abstract: BACKGROUND
  In underdeveloped countries one-stage definitive repair of cleft lip and palate is considered for late-presenting patients.
  
  
  METHODS
  A total of 25 patients with unoperated cleft lip and palate more than 2 years of age were enrolled in this study for one-stage simultaneous repair of cleft lip and palate. According to Veau-Wardill-Kilner push-back technique, 2 flap palatoplasties were performed for palatal repairs; all of the lips were repaired with the Millard II rotation-advancement technique.
  
  
  RESULTS
  The authors experienced no perioperative or postoperative life-threatening complications. With respect to the registered operation periods, longer times were required to perform these double operations, but this elongation is shorter than the sum of the periods if the 2 operations had been performed separately. Although the authors were unable to evaluate the late postoperative results because the authors could not follow-up the patients after they were discharged the day after surgery, the early results related to the success of the operation without any surgical complication were prone to meet the parents' and patients' expectations.
  
  
  CONCLUSIONS
  The authors presented their experiences with many volunteer cleft lip and palate trips to third world countries; however the structure of this article is not a new hypothesis and data based to support a scientific study, but observations are objective to get a conclusion. To perform one-stage definitive repair of the cleft lip and palate in late-presented patients was the reality that they had only 1 chance to undergo these operations. According to the terms and conditions of this challenging operation, one-stage simultaneous repair of cleft lip and palate is a more demanding and time-consuming procedure than is isolated cleft lip repair or cleft palate repair. Although technically challenging, single-stage repair of the whole deformity in late-presenting patients is a feasible, reliable, successful, and safe procedure in authors' experience.
authors.affiliation: *Department of Plastic and Reconstructive Surgery, Bezmialem Vakif University, Instanbul †Plastic and Reconstructive Surgery, Acibadem University, Istanbul ‡Plastic and Reconstructive Surgery, Government Hospital, Adiyaman §Plastic and Reconstructive Surgery, Government Hospital, Kirklareli, Turkey ||Turkiye Hospital, Instanbul.
authors.forename: Ethem
authors.initials: E
authors.lastname: Guneren
authors.forename: Halil Ibrahim
authors.initials: HI
authors.lastname: Canter
authors.forename: Kemalettin
authors.initials: K
authors.lastname: Yildiz
authors.forename: Resit Burak
authors.initials: RB
authors.lastname: Kayan
authors.forename: Mustafa Aykut
authors.initials: MA
authors.lastname: Ozpur
authors.forename: Emre Gonenc
authors.initials: EG
authors.lastname: Baygol
authors.forename: Haci Omer
authors.initials: HO
authors.lastname: Sagir
authors.forename: Ismail Melih
authors.initials: IM
authors.lastname: Kuzu
authors.forename: Onur
authors.initials: O
authors.lastname: Akman
authors.forename: Serap
authors.initials: S
authors.lastname: Arslan
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D003906:Developing Countries; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008046:Lip / Q000601:surgery; D008297:Male; D061646:Operative Time; D010159:Palate / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D015203:Reproducibility of Results; D013524:Surgical Flaps / Q000601:surgery; D016896:Treatment Outcome; D014945:Wound Healing; D055815:Young Adult