Keywords
Clef Lip
Clef Palate
Postoperative Complications
Congenital Abnormalities
Maxillofacial Abnormalities
Clef Palate
Postoperative Complications
Congenital Abnormalities
Maxillofacial Abnormalities
How to Cite
Sosa-Vesga, C. D., Arenas-Camacho, L. D., Moreno-González, C. A., Nazar-Meneses, F. J., Pimiento-Macías, A. F., Telléz-Gamarra, D. A., & Ramírez-Rivero, C. E. (2018). Complications following surgical treatment of cleft lip and palate in pediatric patients of a third-level hospital in Bucaramanga, Colombia 2013-2016. Médicas UIS, 31(2), 25–32. https://doi.org/10.18273/revmed.v31n2-2018003
Abstract
Introduction: the orofacial clefts are the most frequent congenital malformations of the head and neck in the world, with great epidemiological importance for their impact on the quality of life of the population. This impact is largely due to the presence of postsurgical complications, which is why it is important to know them, in order to apply prevention strategies or early correction. Objective: to identify the main complications following surgical treatment of cleft lip, cleft palate or both, in a third level hospital in Bucaramanga, Santander, Colombia. Materials and methods: descriptive cross-sectional study. The information was obtained from the medical records of patients whose surgical intervention was performed during the period from january 2013 to december 2016. Results: records of 55 patients were obtained. The joint presentation of cleft lip and palate was the most frequent craniofacial anomaly (70.9%). The most frequent complication was oronasal fistula (23.9% of patients with compromised palate), followed by dehiscence of the surgical wound (3.6%). A higher percentage of postoperative complications was found in the male sex. Conclusion: the postoperative complication of lip and/or cleft palate correction most frequently found in the sample was the oronasal fistula. MÉD.UIS. 2018;31(2):25-32.
References
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9. Bedón M, Villota LG. Labio y paladar hendido: Tendencias actuales en el manejo exitoso. Arch Med (Manizales). 2012;12(01):107-119.
10. Murray L, Arteche A, Bingley C, Hentges F, Bishop DV, Dalton L, etal. The effect of cleft lip on socio-emotional functioning in schoolaged children. J Child Psychol Psychiatry. 2010;51(1):94-103.
11. Pinquart M, Shen Y. Depressive symptoms in children and adolescents with chronic physical illness: an updated metaanalysis. J Pediatr Psychol. 2011;36(4):375-384.
12. Roberts RM, Mathias JL, Wheaton P. Cognitive functioning in children and adults with nonsyndromal cleft lip and/or palate: a meta-analysis. J Pediatr Psychol. 2012;37(7):786-97.
13. Maine RG, Hoffman WY, Palacios-Martínez JH, Corlew DS, Gregory GA. Comparison of fistula rates after palatoplasty for international and local surgeons on surgical missions in Ecuador with rates at a craniofacial center in the United States. Plast Reconstr Surg. 2012;129(2):319-26.
14. Shaye D, Liu CC, Tollefson TT. Cleft lip and palate: an evidencebased review. Facial Plast Surg Clin North Am. 2015;23(3):357-72.
15. Shi B, Losee JE. The impact of cleft lip and palate repair on maxillofacial growth. Int J Oral Sci. 2015;7(1):14-7.
16. Schönmeyr B, Wendby L, Campbell A. Early surgical complications after primary cleft lip repair: a report of 3108 consecutive cases. Cleft Palate Craniofac J. 2015;52(6):706-10.
17. Zaleckas L, Linkevičienė L, Olekas J, Kutra N. The comparison of different surgical techniques used for repair of complete unilateral cleft lip. Medicina (Kaunas). 2011;47(2):85-90.
18. Charry I, Aguirre ML, Castaño JJ, Gómez BJ, Higuera J, Mateus GL, et al. Caracterización de los pacientes con labio y paladar hendido y de la atención brindada en el Hospital Universitario de Manizales (Colombia), 2010. Arch Med (Manizales). 2012;12(2):190-7.
19. Escoffié-Ramírez M, Medina-Solís C, Pontigo-Loyola A, AcuñaGonzález G, Casanova-Rosado JF, Colome-Ruíz G. Asociación de labio y/o paladar hendido con variables de posición socioeconómica: un estudio de casos y controles. Rev Bras Saude Mater Infant. 2010;10(3):323-329.
20. Moore MD, Lawrence WT, Ptak JJ, Trier WС. Complications of primary palatoplasty: a twenty-one-year review. Cleft Palate J. 1988;25(2):156-162.
21. Stuppia L, Capogreco M, Marzo G, La Rovere D, Antonucci I, Gatta V, et al. Genetics of syndromic and nonsyndromic cleft lip and palate. J Craniofac Surg. 2011;22(5):1722-6.
22. Mossey PA, Little J, Munger RG, Dixon MJ, Shaw WC. Cleft lip and palate. Lancet. 2009; 374(9703):1773-1785.
23. Bille C, Skytthe A, Vach W, Knudsen LB, Nybo AM, MurrayJC, et al. Parent’s age and risk of oral clefts. Epidemiology. 2005;16(3):311-316.
24. Yazdee AK, Saedi B, Sazegar AA, Mehdipour P. Epidemiological aspects of cleft lip and palate in Iran. Acta Med Iran. 2011;49(1):54-58.
25. Zamora CE. Prevalencia de malformaciones congénitas asociadas en una población de niños con fisuras del labio y del paladar en Manzanillo, Cuba. Rev Soc Bol Ped. 2013;52(1):3-7.
26. Roca JL, Cendán I, Alonso F, Ferrero ME, Lantigua A. Caracterización clínica del labio leporino con fisura palatina o sin ésta en Cuba. Rev Cubana Pediatr. 1998;70(1):43-7.
27. Mejía AC, Suárez DE. Factores de riesgo materno predominantes asociados con labio leporino y paladar hendido en los recién nacidos. Arch Inv Mat Inf. 2012;4(2):55-62.
28. García R, Martín C, Gracia E, Gros D, Ureña T, Labarta JI, et al. Fisura palatina y labio leporino. Revisión clínica. Cir Pediatr. 2004;17(4):171-74.
29. McIntyre JK, Sethi H, Schönbrunner A, Proudfoot J, Jones M, Gosman A. Number of Surgical Procedures for Patients With Cleft lip and Palate From Birth to 21 Years Old at a Single Children’s Hospital. Ann Plast Surg. 2016;76(3):205-8.
30. Deshpande GS, Campbell A, Jagtap R, Restrepo C, Dobie H, Keenan HT, et al. Early complications after cleft palate repair: a multivariate statistical analysis of 709 patients. J Craniofac Surg. 2014;25(5):1614-8.
31. Schönmeyr B, Wendby L, Campbell A. Surgical Complications in 1408 Primary Cleft Palate Repairs Operated at a Single Center in Guwahati, Assam, India. Cleft Palate Craniofac J. 2016;53(3):278-82.
2. Strong EB, Buckmiller LM. Management of the cleft palate. Facial Plast Surg Clin North Am. 2001; 9(1): 15-25.
3. McInnes RR, Michaud J. Developmental biology: frontiers for clinical genetics. Clin Genet. 2002; 61(4): 248-56.
4. Díaz GH, Díaz GJ. Defectos de cierre orofaciales: paladar hendido y labio leporino. Una revisión bibliográfica. Semergen. 2013; 39(5):267-71.
5. Corbo MT, Marimón ME. Labio y Paladar Fisurados. Aspectos generales que se deben conocer en la atención primaria de salud. Rev Cubana Med Gen Integr. 2001;17(4):379-385.
6. Nazer J, Ramírez M, Cifuentes L. 38 Años de vigilancia epidemiológica de labio leporino y paladar hendido en la maternidad del Hospital Clínico de la Universidad de Chile. Rev Méd Chile. 2010;138(5):567-572.
7. Chavarriaga J, González-Caicedo MX, Rocha-Buelvas A, PosadaLópez A, Agudelo-Suárez A. Factores relacionados con la prevalencia de labio y paladar hendido en la población atendida en el Hospital Infantil “Los Ángeles”. Municipio de Pasto (Colombia),2003-2008. CES Odont. 2011;24(2):33-41.
8. González Y. Informe final del evento anomalías congénitas hasta el período epidemiológico 13 del año 2012. Reporte final. Colombia: Instituto Nacional de Salud (COL), Oficina de vigilancia y control en salud pública: 2012. Reporte No.:FOR-R02.4000-001.
9. Bedón M, Villota LG. Labio y paladar hendido: Tendencias actuales en el manejo exitoso. Arch Med (Manizales). 2012;12(01):107-119.
10. Murray L, Arteche A, Bingley C, Hentges F, Bishop DV, Dalton L, etal. The effect of cleft lip on socio-emotional functioning in schoolaged children. J Child Psychol Psychiatry. 2010;51(1):94-103.
11. Pinquart M, Shen Y. Depressive symptoms in children and adolescents with chronic physical illness: an updated metaanalysis. J Pediatr Psychol. 2011;36(4):375-384.
12. Roberts RM, Mathias JL, Wheaton P. Cognitive functioning in children and adults with nonsyndromal cleft lip and/or palate: a meta-analysis. J Pediatr Psychol. 2012;37(7):786-97.
13. Maine RG, Hoffman WY, Palacios-Martínez JH, Corlew DS, Gregory GA. Comparison of fistula rates after palatoplasty for international and local surgeons on surgical missions in Ecuador with rates at a craniofacial center in the United States. Plast Reconstr Surg. 2012;129(2):319-26.
14. Shaye D, Liu CC, Tollefson TT. Cleft lip and palate: an evidencebased review. Facial Plast Surg Clin North Am. 2015;23(3):357-72.
15. Shi B, Losee JE. The impact of cleft lip and palate repair on maxillofacial growth. Int J Oral Sci. 2015;7(1):14-7.
16. Schönmeyr B, Wendby L, Campbell A. Early surgical complications after primary cleft lip repair: a report of 3108 consecutive cases. Cleft Palate Craniofac J. 2015;52(6):706-10.
17. Zaleckas L, Linkevičienė L, Olekas J, Kutra N. The comparison of different surgical techniques used for repair of complete unilateral cleft lip. Medicina (Kaunas). 2011;47(2):85-90.
18. Charry I, Aguirre ML, Castaño JJ, Gómez BJ, Higuera J, Mateus GL, et al. Caracterización de los pacientes con labio y paladar hendido y de la atención brindada en el Hospital Universitario de Manizales (Colombia), 2010. Arch Med (Manizales). 2012;12(2):190-7.
19. Escoffié-Ramírez M, Medina-Solís C, Pontigo-Loyola A, AcuñaGonzález G, Casanova-Rosado JF, Colome-Ruíz G. Asociación de labio y/o paladar hendido con variables de posición socioeconómica: un estudio de casos y controles. Rev Bras Saude Mater Infant. 2010;10(3):323-329.
20. Moore MD, Lawrence WT, Ptak JJ, Trier WС. Complications of primary palatoplasty: a twenty-one-year review. Cleft Palate J. 1988;25(2):156-162.
21. Stuppia L, Capogreco M, Marzo G, La Rovere D, Antonucci I, Gatta V, et al. Genetics of syndromic and nonsyndromic cleft lip and palate. J Craniofac Surg. 2011;22(5):1722-6.
22. Mossey PA, Little J, Munger RG, Dixon MJ, Shaw WC. Cleft lip and palate. Lancet. 2009; 374(9703):1773-1785.
23. Bille C, Skytthe A, Vach W, Knudsen LB, Nybo AM, MurrayJC, et al. Parent’s age and risk of oral clefts. Epidemiology. 2005;16(3):311-316.
24. Yazdee AK, Saedi B, Sazegar AA, Mehdipour P. Epidemiological aspects of cleft lip and palate in Iran. Acta Med Iran. 2011;49(1):54-58.
25. Zamora CE. Prevalencia de malformaciones congénitas asociadas en una población de niños con fisuras del labio y del paladar en Manzanillo, Cuba. Rev Soc Bol Ped. 2013;52(1):3-7.
26. Roca JL, Cendán I, Alonso F, Ferrero ME, Lantigua A. Caracterización clínica del labio leporino con fisura palatina o sin ésta en Cuba. Rev Cubana Pediatr. 1998;70(1):43-7.
27. Mejía AC, Suárez DE. Factores de riesgo materno predominantes asociados con labio leporino y paladar hendido en los recién nacidos. Arch Inv Mat Inf. 2012;4(2):55-62.
28. García R, Martín C, Gracia E, Gros D, Ureña T, Labarta JI, et al. Fisura palatina y labio leporino. Revisión clínica. Cir Pediatr. 2004;17(4):171-74.
29. McIntyre JK, Sethi H, Schönbrunner A, Proudfoot J, Jones M, Gosman A. Number of Surgical Procedures for Patients With Cleft lip and Palate From Birth to 21 Years Old at a Single Children’s Hospital. Ann Plast Surg. 2016;76(3):205-8.
30. Deshpande GS, Campbell A, Jagtap R, Restrepo C, Dobie H, Keenan HT, et al. Early complications after cleft palate repair: a multivariate statistical analysis of 709 patients. J Craniofac Surg. 2014;25(5):1614-8.
31. Schönmeyr B, Wendby L, Campbell A. Surgical Complications in 1408 Primary Cleft Palate Repairs Operated at a Single Center in Guwahati, Assam, India. Cleft Palate Craniofac J. 2016;53(3):278-82.
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