A cleft lip is a congenital defect resulting from failing to merge developmental processes in the Orofacial region. One of the most common complications surgeons fear after cleft lip repair is a hypertrophic scar. A cleft scar negatively affects a patient's appearance, psychology, and function. Several techniques have been proposed to improve lip scars such as steroid therapy, laser therapy, and silica gel. Despite such efforts, the results were still unsatisfactory. Botulinum Toxin injections may provide a more reliable method
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
22
injection of Botulinum Toxin injection in lip muscles following cleft lip repair surgically.
The cleft lip will be treated surgically using the Fisher technique only.
Alexandria Faculty of Dentistry
Alexandria, Egypt
Change in cleft scar
Vancouver Scar Scale: This scale focuses on four parameters: scar height and thickness, pliability, vascularity, and pigmentation to generate a score ranging from 0 to 13 point
Time frame: 2 weeks, 3 months, 6 months
Change in scar width
The scar width is to be measured at two certain points using digital caliper, one point is 1 mm above white line and the second point is 1 mm below nasal
Time frame: 2 weeks, 3 months, 6 months
Change in lip height
The lip height measurement will be done using digital caliper at cleft and non-cleft side.
Time frame: 2 weeks, 3 months, 6 months
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