2008Journal of Oral and Maxillofacial SurgeryRequires access

Clinical Analysis of Postoperative Complications in Cleft Palate Patients

Feng Huo

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Abstract

Objective:To analyze the reasons of postoperative complications in palatoplasty and to improve the quality of reconstructive measures. Methods: A retrospective study of 601 cases from October 1993 to May 2008, 76 cases with postoperative complications were analysed. Results: In 482 cases of pre-school children, 40 cases occurred postoperative perforation; in 119 cases of school children, 4 cases occurred perforation. Most perforation site located in the uvula, the junction of hard and soft palate was next. In 32 cases of postoperative hemorrhage, nasal bleeding were the most common, followed by bleeding at the relaxation incision site and/or lateral incision site. Conclusion: The postoperative perforation may correlated with the age and the severity of clefts. The bleeding may correlated with improper operative measures. Improve the surgical technique, postoperative care and strengthen guidance during discharge may be effective in preventing the occurrence of postoperative complications

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Objective:To analyze the reasons of postoperative complications in palatoplasty and to improve the quality of reconstructive measures. Methods: A retrospective study of 601 cases from October 1993 to May 2008, 76 cases with postoperative complications were analysed. Results: In 482 cases of pre-school children, 40 cases occurred postoperative perforation; in 119 cases of school children, 4 cases occurred perforation. Most perforation site located in the uvula, the junction of hard and soft palate was next. In 32 cases of postoperative hemorrhage, nasal bleeding were the most common, followed by bleeding at the relaxation incision site and/or lateral incision site. Conclusion: The postoperative perforation may correlated with the age and the severity of clefts. The bleeding may correlated with improper operative measures. Improve the surgical technique, postoperative care and strengthen guidance during discharge may be effective in preventing the occurrence of postoperative complications

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Available abstract

Objective:To analyze the reasons of postoperative complications in palatoplasty and to improve the quality of reconstructive measures. Methods: A retrospective study of 601 cases from October 1993 to May 2008, 76 cases with postoperative complications were analysed. Results: In 482 cases of pre-school children, 40 cases occurred postoperative perforation; in 119 cases of school children, 4 cases occurred perforation. Most perforation site located in the uvula, the junction of hard and soft palate was next. In 32 cases of postoperative hemorrhage, nasal bleeding were the most common, followed by bleeding at the relaxation incision site and/or lateral incision site. Conclusion: The postoperative perforation may correlated with the age and the severity of clefts. The bleeding may correlated with improper operative measures. Improve the surgical technique, postoperative care and strengthen guidance during discharge may be effective in preventing the occurrence of postoperative complications

Key concepts: Medicine, Palatoplasty, Surgery, Perforation, Complication, Retrospective cohort study, Materials science, Metallurgy

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