Increased Risk of Velopharyngeal Insufficiency in Patients Undergoing Staged Palate Repair...American Society of Pediatric Otolaryngology, Combined Otolaryngology Spring Meetings Conference in Austin, TX, May 1-5, 2019.
Objective: To evaluate the association of 2-stage cleft palate (CP) surgery on velopharyngeal insufficiency (VPI) incidence, speech surgeries, and cleft-related surgical burden. Design: Retrospective cohort with follow-up of 4 to 19 years. Setting: Academic, tertiary children's hospital. Patients: P...
| Publicado en: | Cleft Palate Craniofacial Journal Vol. 57; no. 8; pp. 975 - 984 |
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| Autores principales: | , , , , , , , |
| Formato: | proceedings research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Aug2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=144578043&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 144578043 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10556656 DF1 jtl: Cleft Palate Craniofacial Journal issn: 10556656 maglogo: Y pubinfo: dt: Aug2020 vid: 57 iid: 8 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 144578043 144578043 144578043 10.1177/1055665620913440 144578043 ppf: 975 ppct: 9 formats: tig: atl: Increased Risk of Velopharyngeal Insufficiency in Patients Undergoing Staged Palate Repair...American Society of Pediatric Otolaryngology, Combined Otolaryngology Spring Meetings Conference in Austin, TX, May 1-5, 2019. aug: au: McCrary, Hilary Pollard, Sarah Hatch Torrecillas, Vanessa Khong, Leon Taylor, Helene M. Meier, Jeremy Muntz, Harlan Skirko, Jonathan affil: Division of Otolaryngology, University of Utah, Salt Lake City, UT, USA sug: subj: Cleft Palate Surgery Surgery, Oral Methods Cleft Palate Complications Velopharyngeal Insufficiency Risk Factors Velopharyngeal Insufficiency Diagnosis Risk Assessment Human Congresses and Conferences Retrospective Design Prospective Studies Academic Medical Centers Tertiary Health Care Postoperative Complications Risk Factors Child, Preschool T-Tests Linear Regression Logistic Regression Record Review Incidence Child, Preschool: 2-5 years ab: Objective: To evaluate the association of 2-stage cleft palate (CP) surgery on velopharyngeal insufficiency (VPI) incidence, speech surgeries, and cleft-related surgical burden. Design: Retrospective cohort with follow-up of 4 to 19 years. Setting: Academic, tertiary children's hospital. Patients: Patients who underwent CP surgery between 2000 and 2017. Exclusions included submucous CP or age at last contact under 3.9. Interventions: Cleft palate surgery, completed in either a single-stage or 2-stage repair. Main Outcome Measure(s): Rates of VPI diagnosis and speech surgery and total cleft surgeries; t tests, tests of proportion, and linear and logistic regression were performed. Total cleft-related surgeries were examined in a subset (n = 418) of patients with chart reviews. Results: A total of 1047 patients were included; 59.6% had 2-stage CP repair, 40.4% had single-stage repair. Approximately 32% of children with 2-stage CP repair were diagnosed with VPI, as opposed to 22% of single-stage patients (P <.001). Children with 2-stage CP repair were 1.8 times as likely to be diagnosed with VPI (P <.001). Speech surgery rates were similar across groups. Patients who had 2-stage repair received an average of 2.3 more cleft-related procedures, when excluding prosthesis management procedures. Conclusion: Our data show an increased risk of VPI diagnosis and increased surgical burden among patients receiving 2-stage CP repair. pubtype: Academic Journal doctype: proceedings research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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