ArticleOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2025
Management and Outcomes of Postoperative Airway Obstruction in Patients After Tissue-Augmentation Palatoplasty.
Article in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo characterize postoperative airway obstruction and evaluate management strategies in pediatric patients with cleft palate following tissue-augmentation palatoplasty (TAP). STUDY
designRetrospective case series.
settingSingle academic center.
methodsPatients with obstruction within 1 year of primary TAP between 2017 and 2023 were identified. Fisher's exact, Wilcoxon rank-sum, and Spearman rank correlation were used to investigate the relationship between TAP type, obstruction severity, interventions, and polysomnography (PSG) findings (Obstructive Apnea-Hypopnea Index [OAHI], total Apnea-Hypopnea Index [AHI]) and disposition details.
resultsOf the 129 patients who underwent primary TAP, 25 patients developed obstructive symptoms (19.4%); 52% female, 32% syndromic. In total, 17 underwent surgical intervention for obstruction (68.0%): revision palatoplasty/flap revision (8/25, 35%), tonsillectomy and partial cephalic adenoidectomy (10/25, 40%), and partial cephalic adenoidectomy only (5/25, 20%). In total, 11 were medically managed and 3 were observed without intervention. In nine patients with paired PSGs, there was no difference in pre-TAP and post-TAP AHI or OAHI. Patients who underwent surgical revision had worse pre-TAP AHI compared to those who did not undergo surgical revision (mean ± SD: 15.7 ± 5.9 vs 6.2 ± 4.1, P = .01).
conclusionTAP is a newer surgical technique used to address tissue deficiency in cleft palate repair. Most patients who experienced postoperative obstruction following TAP ultimately required surgical intervention, though preoperative AHI may help identify those at higher risk for obstruction. Future studies are necessary to evaluate the efficacy of earlier interventions and elucidate factors impacting obstruction risk and symptom resolution.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.