Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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A Comparative Study to Evaluate a Simple Method for the Management of Postoperative Bleeding Following Palatoplasty

  • Rossell-Perry, Percy (Outreach Surgical Center, Program Lima Peru, ReSurge International) ;
  • Schneider, William J. (Fort Sanders Regional Medical Center) ;
  • Gavino-Gutierrez, Arquimedes M. (A.B. PRISMA)
  • Received : 2013.01.29
  • Accepted : 2013.04.20
  • Published : 2013.05.15
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Abstract

Bleeding, is one of the most common postoperative complications after palatoplasty in patients with cleft palate. The purpose of this article is to present our experience using a Foley catheter balloon for perioperative palatoplasty bleeding management. A retrospective data analysis was performed for all cases of palatoplasty performed by the author from 1999 to 2012 that experienced postoperative hemorrhage. These patients were managed by utilizing posterior nasal compression with a Foley catheter balloon for the period 2006 to 2012. We have compared two methods (we use before 2006 the reoperative method) with regards to the later development of palatal fistulae and cases with reoperative hemostasis. The study found no statistically significant differences between the conventional and proposed method in relation to the development of palatal fistulae (P=0.7). These findings suggest that nasal packing using a Foley balloon is a safe and effective method for postoperative bleeding control after palatoplasty in patients with cleft palate.

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References

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  1. EARLY POSTOPERATIVE COMPLICATIONS AND DURATION OF HOSPITAL STAY AFTER PRIMARY PALATOPLASTY vol.1, pp.2, 2014, https://doi.org/10.18410/jebmh/2014/15
  2. Implement of Palatoplasty Enhanced Recovery (PER) pathway for cleft palate repair after the audit from the Surgical Outcomes Monitoring and Improvement Program (SOMIP) vol.20, pp.2, 2013, https://doi.org/10.1111/1744-1633.12168
  3. A Comparison of Nonopioid and Opioid Oral Analgesia following Pediatric Palatoplasty vol.54, pp.2, 2013, https://doi.org/10.1597/15-135
  4. Safety of Ibuprofen for Postoperative Pain After Palatoplasty : A Pilot Study vol.55, pp.8, 2013, https://doi.org/10.1177/1055665618760532
  5. Establishing cleft services in developing countries: Complications of cleft lip and palate surgery in rural areas of Indonesia vol.46, pp.6, 2013, https://doi.org/10.5999/aps.2018.00493
  6. Use of urinary balloon catheter to prevent postoperative bleeding after ultrasound‐guided vacuum‐assisted breast biopsy vol.26, pp.2, 2013, https://doi.org/10.1111/tbj.13484