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Comparative Study
. 2007 Feb 5:3:9.
doi: 10.1186/1746-160X-3-9.

Perioperative complications in infant cleft repair

Thomas Fillies  1 , Christoph Homann, Ulrich Meyer, Alexander Reich, Ulrich Joos, Richard Werkmeister
Affiliations
Comparative Study

Perioperative complications in infant cleft repair

Thomas Fillies et al. Head Face Med. .

Abstract

Background: Cleft surgery in infants includes special risks due to the kind of the malformation. These risks can be attributed in part to the age and the weight of the patient. Whereas a lot of studies investigated the long-term facial outcome of cleft surgery depending on the age at operation, less is known about the complications arising during a cleft surgery in early infancy.

Methods: We investigated the incidence and severity of perioperative complications in 174 infants undergoing primary cleft surgery. The severity and the complications were recorded during the intraoperative and the early postoperative period according to the classification by Cohen.

Results: Our study revealed that minor complications occurred in 50 patients. Severe complications were observed during 13 operations. There was no fatal complication in the perioperative period. The risk of complications was found to be directly correlated to the body weight at the time of the surgery. Most of the problems appeared intraoperatively, but they were also followed by complications immediately after the extubation.

Conclusion: In conclusion, cleft surgery in infancy is accompanied by frequent and sometimes severe perioperative complications that may be attributed to this special surgical field.

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Figures

Figure 1
Figure 1
Directly measured blood loss during primary lip(n = 28) and palate repair (n = 40).
See this image and copyright information in PMC

References

    1. Tiret L, Desmonts JM, Hatton F, Vourc'h G. Complications associated with anaesthesia: a retrospective survey in France. Can Anaesth Soc J. 1986;33:336–344. - PubMed
    1. Tiret L, Nivoche Y, Hatton F. Complications related to anaesthesia in infants and children a prospective survey 40240 anaesthetics. Br J Anaesth. 1988;61:263–269. doi: 10.1093/bja/61.3.263. - DOI - PubMed
    1. Ward CF. Pedriatric head and neck syndromes. In: Kart J, editor. Anesthesia and uncommon paediatric disease. Philadelphia, PA: WB Saunders; 1987. pp. 238–271.
    1. Van Boven MJ, Pendeville PE, Veyckmans F, Janvier C, Vandewalle F, Bayet B, Vanwijck R. Neonatal cleft lip repair: the anaesthesiologists point of view. Cleft Palate Craniofac J. 1993;30:574–577. doi: 10.1597/1545-1569(1993)030<0574:NCLRTA>2.3.CO;2. - DOI - PubMed
    1. Hujoel PP, Bollen AM, Mueller BA. First-year mortality among infants with facial clefts. Cleft Palate J. 1992;29:451–484. doi: 10.1597/1545-1569(1992)029<0451:FYMAIW>2.3.CO;2. - DOI - PubMed

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