Establishing cleft services in developing countries: Complications of cleft lip and palate surgery in rural areas of Indonesia
Background Cleft treatment is frequently performed in Indonesia, mostly in charity missions, but without a postoperative protocol it is difficult to establish the risks and complications of cleft treatment. The present study was designed to give an overview of current cleft lip and palate treatment...
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Korean Society of Plastic and Reconstructive Surgeons
2019-11-01
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doaj-d34fe87222a14565b66b6dfdfaab73c32020-11-24T21:38:57ZengKorean Society of Plastic and Reconstructive SurgeonsArchives of Plastic Surgery2234-61632234-61712019-11-0146651151710.5999/aps.2018.004933678Establishing cleft services in developing countries: Complications of cleft lip and palate surgery in rural areas of IndonesiaMuhammad Ruslin0Lawrence Dom1Andi Tajrin2Andi Sitti Hajrah Yusuf3Syafri Kamsul Arif4Andi Husni Tanra5Keng Liang Ou6Tymour Forouzanfar7Sri Astuti Thamrin8 Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia Department of Anesthesiology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia Department of Anesthesiology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia Department of Anesthesiology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan Department of Oral and Maxillofacial Surgery/Oral Pathology, VU University Medical Center, Amsterdam, The Netherlands Department of Statistics, Hasanuddin University, Makassar, IndonesiaBackground Cleft treatment is frequently performed in Indonesia, mostly in charity missions, but without a postoperative protocol it is difficult to establish the risks and complications of cleft treatment. The present study was designed to give an overview of current cleft lip and palate treatment strategies in Indonesia and to assess the complication rates during and after surgery. Methods This prospective study evaluated anesthetic, intraoperative surgical, and short-term postoperative complications in patients undergoing primary, secondary, or corrective surgery for cleft lip and palate deformities. The population consisted of 98 non-syndromic cleft patients. The main anesthetic complication that occurred during general anesthesia was high blood pressure, whereas the main intraoperative surgical complication was excessive bleeding and the main early postoperative complication was extremely poor wound hygiene. Results In this study, there were no cases of perioperative or postoperative mortality. However, in 23 (23.4%) of the 98 operations performed, at least one perioperative complication related to anesthesia occurred. The intraoperative and early postoperative complications following cleft lip and/or palate were assessed. There was a significant difference in the complication rate between procedure types (χ2=0.02; P<0.05). However, no relationship was found between perioperative complications related to anesthesia and the occurrence of postoperative complications (χ2=1.00; P>0.05). Nonetheless, a significant difference was found between procedure types regarding perioperative complications and the occurrence of postoperative complications (χ2=0.031; P<0.05). Conclusions Further evaluation of these outcomes would help direct patient management toward decreasing the complication rate.http://www.e-aps.org/upload/pdf/aps-2018-00493.pdfcleft lipcleft palatesurgery |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Muhammad Ruslin Lawrence Dom Andi Tajrin Andi Sitti Hajrah Yusuf Syafri Kamsul Arif Andi Husni Tanra Keng Liang Ou Tymour Forouzanfar Sri Astuti Thamrin |
spellingShingle |
Muhammad Ruslin Lawrence Dom Andi Tajrin Andi Sitti Hajrah Yusuf Syafri Kamsul Arif Andi Husni Tanra Keng Liang Ou Tymour Forouzanfar Sri Astuti Thamrin Establishing cleft services in developing countries: Complications of cleft lip and palate surgery in rural areas of Indonesia Archives of Plastic Surgery cleft lip cleft palate surgery |
author_facet |
Muhammad Ruslin Lawrence Dom Andi Tajrin Andi Sitti Hajrah Yusuf Syafri Kamsul Arif Andi Husni Tanra Keng Liang Ou Tymour Forouzanfar Sri Astuti Thamrin |
author_sort |
Muhammad Ruslin |
title |
Establishing cleft services in developing countries: Complications of cleft lip and palate surgery in rural areas of Indonesia |
title_short |
Establishing cleft services in developing countries: Complications of cleft lip and palate surgery in rural areas of Indonesia |
title_full |
Establishing cleft services in developing countries: Complications of cleft lip and palate surgery in rural areas of Indonesia |
title_fullStr |
Establishing cleft services in developing countries: Complications of cleft lip and palate surgery in rural areas of Indonesia |
title_full_unstemmed |
Establishing cleft services in developing countries: Complications of cleft lip and palate surgery in rural areas of Indonesia |
title_sort |
establishing cleft services in developing countries: complications of cleft lip and palate surgery in rural areas of indonesia |
publisher |
Korean Society of Plastic and Reconstructive Surgeons |
series |
Archives of Plastic Surgery |
issn |
2234-6163 2234-6171 |
publishDate |
2019-11-01 |
description |
Background Cleft treatment is frequently performed in Indonesia, mostly in charity missions, but without a postoperative protocol it is difficult to establish the risks and complications of cleft treatment. The present study was designed to give an overview of current cleft lip and palate treatment strategies in Indonesia and to assess the complication rates during and after surgery. Methods This prospective study evaluated anesthetic, intraoperative surgical, and short-term postoperative complications in patients undergoing primary, secondary, or corrective surgery for cleft lip and palate deformities. The population consisted of 98 non-syndromic cleft patients. The main anesthetic complication that occurred during general anesthesia was high blood pressure, whereas the main intraoperative surgical complication was excessive bleeding and the main early postoperative complication was extremely poor wound hygiene. Results In this study, there were no cases of perioperative or postoperative mortality. However, in 23 (23.4%) of the 98 operations performed, at least one perioperative complication related to anesthesia occurred. The intraoperative and early postoperative complications following cleft lip and/or palate were assessed. There was a significant difference in the complication rate between procedure types (χ2=0.02; P<0.05). However, no relationship was found between perioperative complications related to anesthesia and the occurrence of postoperative complications (χ2=1.00; P>0.05). Nonetheless, a significant difference was found between procedure types regarding perioperative complications and the occurrence of postoperative complications (χ2=0.031; P<0.05). Conclusions Further evaluation of these outcomes would help direct patient management toward decreasing the complication rate. |
topic |
cleft lip cleft palate surgery |
url |
http://www.e-aps.org/upload/pdf/aps-2018-00493.pdf |
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