Evidence map›Paper›PMID 36536584›Full record

ArticleThe Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association2024

Cleft Palate Repair Postoperative Management: Current Practices in the United States.

Thomas J Sitzman, Erik M Verhey, Richard E Kirschner, Sarah Hatch Pollard, Adriane L Baylis, Kathy L Chapman, Cleft Outcomes Research NETwork (CORNET) Consortium

Open access · greenAbstract read
In one paragraph

Article in The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Systematic Review of Growth in Young Children With Cleft Lip and/or Cleft Palate From 0 to 24 Months of Age.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026
    Pooled it
  2. Observational
  3. Review
  4. Analysis and Reporting of Randomized Trials in Cleft Palate Surgery: Learning from the Timing of Primary Surgery (TOPS) Trial.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2025
    Article
  5. Speech Therapy in an Adult With Cleft Lip and Palate: A Clinical Case Study.Perspectives of the ASHA special interest groups · 2025
    Article
  6. Article
  7. Updates in Cleft Care.Seminars in plastic surgery · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Thomas J SitzmanDivision of Plastic Surgery, Phoenix Children's Hospital, Phoenix, Arizona, USA.ORCID 0000-0002-2173-923X
Erik M VerheyDepartment of Surgery, Mayo Clinic College of Medicine, Scottsdale, Arizona, USA.
Richard E KirschnerDepartment of Plastic and Reconstructive Surgery, Nationwide Children's Hospital, and The Ohio State University Medical College, Columbus, Ohio, USA.
Sarah Hatch PollardDepartment of Communication Sciences and Disorders, University of Utah, Salt Lake City, Utah, USA.ORCID 0000-0003-3359-1591
Adriane L BaylisDepartment of Plastic and Reconstructive Surgery, Nationwide Children's Hospital, and The Ohio State University Medical College, Columbus, Ohio, USA.ORCID 0000-0003-4148-4729
Kathy L ChapmanDepartment of Communication Sciences and Disorders, University of Utah, Salt Lake City, Utah, USA.
Cleft Outcomes Research NETwork (CORNET) Consortium
Nationwide Children's Hospital · USUniversity of Utah · USMayo Clinic in Arizona · USUniversity of Arizona · US

Funding

CTSA UM1 Program at University of UtahUM1TR004409 · NCATS · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI RACHEL HESS, Jennifer Juhl Majersik · 2023 to 2026
$21.9M
A comparative effectiveness study of speech and surgical treatments using a Cleft Palate Registry/Research Outcomes Network.R01DE027493 · NIDCR · UNIVERSITY OF UTAH · PI CHAPMAN, KATHY L · 2018 to 2022
$6.2M
NCATS NIH HHS UM1 TR004409NIDCR NIH HHS R01 DE027493
6 · The paper itself

Abstract

objectiveTo describe current postoperative management practices following cleft palate repair.

designA survey was administered to cleft surgeons to collect information on their demographic characteristics, surgical training, surgical practice, and postoperative management preferences.

settingEighteen tertiary referral hospitals across the United States.Participants: Surgeons (n = 67) performing primary cleft palate repair.

resultsPostoperative 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 (

conclusionsSurgeons 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.

Indexed as

Cleft LipCleft PalateSurgeonsHumansPostoperative ComplicationsPostoperative PeriodSurveys and QuestionnairesUnited States

Identifiers

PMID36536584
PMCPMC10277312
OpenAlexW4312018343

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.