Current Surgical Practices in Cleft Care: Cleft Palate Repair Techniques and Postoperative Care

2009 ◽  
Vol 124 (3) ◽  
pp. 899-906 ◽  
Author(s):  
Evan B. Katzel ◽  
Patrick Basile ◽  
Peter F. Koltz ◽  
Jeffrey R. Marcus ◽  
John A. Girotto
Keyword(s):  
Cleft Palate ◽  
Postoperative Care ◽  
Cleft Palate Repair ◽  
Palate Repair ◽  
Repair Techniques

P.011 Advanced simulator of cleft palate repair techniques

2008 ◽  
Vol 36 ◽  
pp. S171
Author(s):  
K. Nagy ◽  
M.Y. Mommaerts ◽  
C. De Clercq
Keyword(s):  
Cleft Palate ◽  
Cleft Palate Repair ◽  
Palate Repair ◽  
Repair Techniques

Advanced S(t)imulator for Cleft Palate Repair Techniques

2009 ◽  
Vol 46 (1) ◽  
pp. 1-5 ◽  
Author(s):  
Krisztián Nagy ◽  
Maurice Y. Mommaerts
Keyword(s):  
Oral Cavity ◽  
Cleft Palate ◽  
Surgical Techniques ◽  
Rubber Band ◽  
Rubber Dam ◽  
Water Based ◽  
Cleft Palate Repair ◽  
Palate Repair ◽  
Palate Patient ◽  
Repair Techniques

Objective: Our aim was to create a simple, inexpensive, reproducible, and life-size model of the oral cavity of a cleft palate patient. A step-by-step description of the assembly of our cleft palate simulator and its usefulness is presented. Materials: This model was made with readily available components, such as alginate impression material, impression plaster, paper template, latex examination gloves, ink pad, disposable water cup, rubber dam, rubber band, and water-based and fast-setting glue. Result: Repeated trials showed that the model can be assembled in a fast and straightforward way. The model was appropriate for simulating the structure of a cleft palate, and the Furlow double-opposing Z-plasty could be readily performed on this model. Conclusion: Our cleft palate simulator enables both the novice and keen cleft surgeons to simulate the intraoral situation of a cleft palate patient and to stimulate them to practice surgical techniques of palatal repair.

Cleft Palate Repair

2019 ◽  
pp. 519-530
Author(s):  
Catharine B. Garland ◽  
Joseph E. Losee
Keyword(s):  
Cleft Palate ◽  
Soft Palate ◽  
Postoperative Care ◽  
Cleft Palate Repair ◽  
History Of ◽  
Palate Repair ◽  
Alternative Techniques ◽  
Relationship Of ◽  
Normal Speech ◽  
Anatomic Relationship

Cleft palate repair is performed to allow for normal speech production, development, and social interactions. The goal of surgery is to restore the normal anatomic relationship of the tissues and muscles. The history of cleft palate repair has evolved from techniques that simply closed the mucosal layers to those that return the musculature of the palate to its normal anatomic position. A variety of techniques remain in common use today. This chapter reviews the relevant anatomy, preoperative and postoperative care, and the operative technique. The authors emphasize their preferred method of repair, the Furlow palatoplasty, and discuss in detail the steps for reconstruction of the hard and soft palate, with modifications as necessary to suit different cleft anatomy. Alternative techniques for cleft palate repair are reviewed in brief.

Adult Quality of Life Post Cleft Palate Repair

2017 ◽  
Vol 28 (4) ◽  
pp. 909-914
Author(s):  
Rachel Skladman ◽  
Lynn Marty Grames ◽  
Gary Skolnick ◽  
Dennis C. Nguyen ◽  
Sybill D. Naidoo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cleft Palate ◽  
Cleft Palate Repair ◽  
Palate Repair

Optimizing Outcomes After Cleft Palate Repair: Design and Implementation of a Perioperative Clinical Care Pathway

2021 ◽  
pp. 105566562110174
Author(s):  
Thomas R. Cawthorn ◽  
Anna R. Todd ◽  
Nina Hardcastle ◽  
Adam O. Spencer ◽  
A. Robertson Harrop ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Cleft Palate ◽  
Care Pathway ◽  
Clinical Care ◽  
Oral Intake ◽  
Opioid Consumption ◽  
Complication Rates ◽  
Cleft Palate Repair ◽  
Palate Repair ◽  
Clinical Care Pathway

Objective: To evaluate the development process and clinical impact of implementing a standardized perioperative clinical care pathway for cleft palate repair. Design: Medical records of patients undergoing primary cleft palate repair prior to pathway implementation were retrospectively reviewed as a historical control group (N = 40). The historical cohort was compared to a prospectively collected group of patients who were treated according to the pathway (N = 40). Patients: Healthy, nonsyndromic infants undergoing primary cleft palate repair at a tertiary care pediatric hospital. Interventions: A novel, standardized pathway was created through an iterative process, combining literature review with expert opinion and discussions with institutional stakeholders. The pathway integrated multimodal analgesia throughout the perioperative course and included intraoperative bilateral maxillary nerve blocks. Perioperative protocols for preoperative fasting, case timing, antiemetics, intravenous fluid management, and postoperative diet advancement were standardized. Main Outcome Measures: Primary outcomes include: (1) length of hospital stay, (2) cumulative opioid consumption, (3) oral intake postoperatively. Results: Patients treated according to the pathway had shorter mean length of stay (31 vs 57 hours, P < .001), decreased cumulative morphine consumption (77 vs 727 μg/kg, P < .001), shorter time to initiate oral intake (9.3 vs 22 hours, P = .01), and greater volume of oral intake in first 24 hours postoperatively (379 vs 171 mL, P < .001). There were no differences in total anesthesia time, total surgical time, or complication rates between the control and treatment groups. Conclusions: Implementation of a standardized perioperative clinical care pathway for primary cleft palate repair is safe, feasible, and associated with reduced length of stay, reduced opioid consumption, and improved oral intake postoperatively.

Fibrin Tissue Sealant as an Adjunct to Cleft Palate Repair

2017 ◽  
Vol 28 (5) ◽  
pp. 1164-1166 ◽  
Author(s):  
Robin Wu ◽  
Alexander Wilson ◽  
Roberto Travieso ◽  
Derek M. Steinbacher
Keyword(s):  
Cleft Palate ◽  
Cleft Palate Repair ◽  
Tissue Sealant ◽  
Palate Repair
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