Cleft Palate Repair Postoperative Management: Current Practices in the United States.
| Autor: | Sitzman TJ; Division of Plastic Surgery, Phoenix Children's Hospital, Phoenix, Arizona, USA.; University of Arizona College of Medicine - Phoenix, Phoenix, Arizona, USA.; Department of Surgery, Mayo Clinic College of Medicine, Scottsdale, Arizona, USA., Verhey EM; Department of Surgery, Mayo Clinic College of Medicine, Scottsdale, Arizona, USA., Kirschner RE; Department of Plastic and Reconstructive Surgery, Nationwide Children's Hospital, and The Ohio State University Medical College, Columbus, Ohio, USA., Pollard SH; Department of Communication Sciences and Disorders, University of Utah, Salt Lake City, Utah, USA., Baylis AL; Department of Plastic and Reconstructive Surgery, Nationwide Children's Hospital, and The Ohio State University Medical College, Columbus, Ohio, USA., Chapman KL; Department of Communication Sciences and Disorders, University of Utah, Salt Lake City, Utah, USA. |
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| Jazyk: | angličtina |
| Zdroj: | The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association [Cleft Palate Craniofac J] 2024 May; Vol. 61 (5), pp. 827-833. Date of Electronic Publication: 2022 Dec 19. |
| DOI: | 10.1177/10556656221146891 |
| Abstrakt: | Objective: To describe current postoperative management practices following cleft palate repair. Design: A survey was administered to cleft surgeons to collect information on their demographic characteristics, surgical training, surgical practice, and postoperative management preferences. Setting: Eighteen tertiary referral hospitals across the United States.Participants: Surgeons (n = 67) performing primary cleft palate repair. Results: Postoperative diet restrictions were imposed by 92% of surgeons; pureed foods were allowed at one week after surgery by 90% of surgeons; a regular diet was allowed at one month by 80% of surgeons. Elbow immobilizers and/or mittens were used by 85% of surgeons, for a median duration of two weeks. There was significant disagreement about postoperative use of bottles (61% allow), sippy cups (68% allow), pacifiers (29% allow), and antibiotics (45% prescribe). Surgeon specialty was not associated with any aspect of postoperative management ( p > 0.05 for all comparisons). Surgeon years in practice, a measure of surgeon experience, was associated only with sippy cup use ( p < 0.01). The hospital at which the surgeon practiced was associated with diet restrictions ( p < 0.01), bottle use ( p < 0.01), and use of elbow immobilizers or mittens ( p < 0.01); however, many hospitals still had disagreement among their surgeons. Conclusions: Surgeons broadly agree on diet restrictions and the use of elbow immobilizers or mittens following palate repair. Almost all other aspects of postoperative management, including the type and duration of diet restriction as well as the duration of immobilizer use, are highly individualized. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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