ArticleArchives of plastic surgery2019
Establishing cleft services in developing countries: Complications of cleft lip and palate surgery in rural areas of Indonesia.
Article in Archives of plastic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Honey as an Alternative Dressing in Post-Palatoplasty-Two Case Reports.Case reports in medicine · 2024Article
- Influence of patient-related factors on intraoperative blood loss during double opposing Z-plasty Furlow palatoplasty and buccal fat pad coverage: A prospective study.Journal of clinical and experimental dentistry · 2022Article
- The characteristics and perioperative outcomes of children with orofacial clefts managed at an academic hospital in Johannesburg, South Africa.BMC pediatrics · 2022Article
- Clinical interventions and speech outcomes for individuals with submucous cleft palate.Archives of plastic surgery · 2020Article
- Access to oral & maxillofacial surgery in Sub-Saharan African countries.Journal of oral biology and craniofacial researchArticle
- Cleft Lip and Palate Repair Training to Bridge the Gap in Low-Income Countries.The Journal of craniofacial surgeryArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCleft treatment is frequently performed in Indonesia, mostly in charity missions, but without a postoperative protocol it is difficult to establish the risks and complications of cleft treatment. The present study was designed to give an overview of current cleft lip and palate treatment strategies in Indonesia and to assess the complication rates during and after surgery.
methodsThis prospective study evaluated anesthetic, intraoperative surgical, and short-term postoperative complications in patients undergoing primary, secondary, or corrective surgery for cleft lip and palate deformities. The population consisted of 98 non-syndromic cleft patients. The main anesthetic complication that occurred during general anesthesia was high blood pressure, whereas the main intraoperative surgical complication was excessive bleeding and the main early postoperative complication was extremely poor wound hygiene.
resultsIn this study, there were no cases of perioperative or postoperative mortality. However, in 23 (23.4%) of the 98 operations performed, at least one perioperative complication related to anesthesia occurred. The intraoperative and early postoperative complications following cleft lip and/or palate were assessed. There was a significant difference in the complication rate between procedure types (χ2=0.02; P<0.05). However, no relationship was found between perioperative complications related to anesthesia and the occurrence of postoperative complications (χ2=1.00; P>0.05). Nonetheless, a significant difference was found between procedure types regarding perioperative complications and the occurrence of postoperative complications (χ2=0.031; P<0.05).
conclusionsFurther evaluation of these outcomes would help direct patient management toward decreasing the complication rate.
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