کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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3143626 | 1196824 | 2013 | 5 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Influence of patient age and experience of the surgeon on early complications after surgical closure of the cleft palate – A retrospective cohort study Influence of patient age and experience of the surgeon on early complications after surgical closure of the cleft palate – A retrospective cohort study](/preview/png/3143626.png)
Comparative studies on timing of palatoplasty are rare. The aim of this retrospective cohort study was to compare the influence of early (<14 months) and later (>14 months) one-step closure of the soft and hard palate on early complications.All non-syndromic patients from 1999 to 2009 were included; 6–14 months n = 41 and 15–24 months n = 53. Each palatoplasty was performed as a single-step procedure using bipedicled flaps by a team of two Maxillofacial Surgeons either supervising or operating. The surgeon was rated as “non-experienced” when having performed less than 10 palatoplasties under supervision. Main outcome variable is the occurrence of residual fistula. Fistula occurred in four (4.5%) of the patients. In the multivariate model with respect to the occurrence of fistula neither age, leucocyte count, duration of surgery, nor experience of the surgeon showed a significant influence on the occurrence of a fistula. Only reduced weight contributed to a significantly higher risk of post-operative fistula.In conclusion patient age, experience of surgeon, and duration of surgery had no influence on the early outcome. High leucocyte count had a tendency for and reduced weight had a significant influence on fistula occurrence. Long-term outcome on speech development and maxillary growth have to be collected.
Journal: Journal of Cranio-Maxillofacial Surgery - Volume 41, Issue 2, March 2013, Pages 135–139