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Association between palatal index and cleft palate repair outcomes in patients with complete unilateral cleft lip and palate

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dc.contributor.author Rossell-Perry, Percy.
dc.contributor.author Nano Caceres, Evelyn
dc.contributor.author Gavino-Gutierrez, Arquímedes M.
dc.date.accessioned 2020-06-10T18:11:35Z
dc.date.available 2020-06-10T18:11:35Z
dc.date.issued 2014
dc.identifier.uri https://hdl.handle.net/20.500.12866/8004
dc.description.abstract IMPORTANCE: This study evaluates a technique to estimate cleft severity and tissue hypoplasia in patients with cleft palate. Current classifications are limited to the morphologic characterstics of the clefts. A new classification is proposed in relation to the palatal index, which allows more individualized surgical attention for the cleft palate. OBJECTIVE To evaluate the relationship of palatal index and cleft palate repair surgical outcomes (palatal fistula and velopharyngeal insufficiency) in patients with unilateral cleft lip and palate. DESIGN, SETTING, AND PARTICIPANTS Retrospective study performed by the Outreach Surgical Center Program Lima, Lima, Peru, of surgical outcomes of 152 consecutive pediatric patients, aged 12 to 15 months, with nonsyndromic unilateral complete cleft lip and palate treated during from 2001 to 2007. Findings were obtained at 1 to 5 years' follow-up. INTERVENTIONS Palatoplasty using the 2-flap technique plus intravelar veloplasty. Palate index was measured preoperatively with the patient under general anesthesia. MAIN OUTCOMES AND MEASURES Postoperative analysis via the χ2 test to assess the statistical significance of association between the palatal index and surgical outcomes. RESULTS Palatal fistula rates correlated directly with the cleft severity, as estimated by the palatal index (P = .01), but there was no association between postoperative velopharyngeal insufficiency and palatal index (P = .76). CONCLUSIONS AND RELEVANCE The palatal index was a good predictor of fistula development in the studied group. There was an association between the cleft severity and tissue deficiency (estimated using this index) and presence of palatal fistula. Further long-term study is needed to evaluate the relationship between the palatal index and maxillary growth. en_US
dc.language.iso eng
dc.publisher American Medical Association
dc.relation.ispartofseries JAMA Facial Plastic Surgery
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Humans en_US
dc.subject pathology en_US
dc.subject procedures en_US
dc.subject evaluation study en_US
dc.subject treatment outcome en_US
dc.subject retrospective study en_US
dc.subject follow up en_US
dc.subject Follow-Up Studies en_US
dc.subject cleft lip en_US
dc.subject Cleft Lip en_US
dc.subject cleft palate en_US
dc.subject plastic surgery en_US
dc.subject Reconstructive Surgical Procedures en_US
dc.title Association between palatal index and cleft palate repair outcomes in patients with complete unilateral cleft lip and palate en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1001/jamafacial.2013.2537
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.11
dc.relation.issn 2168-6092

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