Skip to main content
Log in

Early postoperative complications in primary cleft lip and palate surgery

  • Originals
  • Published:
European Journal of Plastic Surgery Aims and scope Submit manuscript

Abstract

We studied the occurrence of early complications of cleft lip and palate surgery by the retrospective study of 132 consecutive cases (160 procedures) operated between three and six months of age. Three children presented with major complications within the immediate postoperative period. All were treated successfully. A local complication directly related to the operation occurred in 7.5% of the cases within the first six postoperative days. In 17%, a general complication not directly related to the operation was observed. The majority of these general complications were cross infections during the hospital stay. These observations led us to reduce the hospital stay to one day for cleft lip and five days for cleft palate and cleft lip and palate operations without compromise to safety but with a reduction of the morbidity and hence the treatment costs and of the child-family disturbance.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bromley GS (1983) Cleft lip: morbidity and mortality in early repair. Ann Plast Surg 10:214

    PubMed  Google Scholar 

  2. Canady JW, Glowacki R, Thompson SA, Morris HL (1994) Complication outcomes based on preoperative admission and length of stay for primary palatoplasty and cleft lip/palate revision in children aged 1 to 6 years. Ann Plast Surg 33:576

    PubMed  Google Scholar 

  3. De Mey A, Lacotte B, Malevez C, Mansbach AL, Lejour M (1992) Traitement des fentes labio-palatines: résultats à long terme. Ann Chir Plast Esth 37:174

    Google Scholar 

  4. De Mey A, Malevez C, Lejour M (1993) All-in-one, one-stage complete closure of CLP at 3 months. 7th International Congress on CLP, Broad Beach, Queensland-Australia

  5. Dingman RO, Ricker L, Iob V (1949) Blood loss in infant cleft lip and palate surgery. Plast Reconstr Surg 4:333

    Google Scholar 

  6. Eaton AC, Marsh JL, Pilgram TK (1994) Does reduced hospital stay affect mobidity and mortality rates following cleft lip and palate repair in infancy? Plast Reconstr Surg 94:911

    PubMed  Google Scholar 

  7. Holdworth WG (1957) Cleft lip and palate, 2nd edn., Heinemann, London, p 145.

    Google Scholar 

  8. Lees VC, Pigott W (1992) Early postoperative complications in primary cleft lip and palate surgery. Br J Plast Surg 45:232

    PubMed  Google Scholar 

  9. Lewis MB (1994) Discussion: does reduced hospital stay affect morbidity and mortality rates following cleft lip and palate repair in infancy? Plast Reconstr Surg 94:916

    Google Scholar 

  10. McCarty JG (1990) Plastic surgery, vol 4. Saunders, Philadelphia, pp 2697–2746

    Google Scholar 

  11. McComb H (1985) Primary correction of unilateral cleft lip nasal deformity: a 10-year review. Plast Reconstr Surg 75:791

    PubMed  Google Scholar 

  12. Malek R, Psaume J (1983) Nouvelle conception de la chronologie et de la technique chirurgicale du traitement des fentes labio-palatines. Ann Chir Plast Esth 28:237

    Google Scholar 

  13. Moore MD, Lawrence WT, Ptak JJ, Trier WC (1988) Complications of primary palatoplasty: a twenty-one year review. Cleft Palate J 25:156

    PubMed  Google Scholar 

  14. Musgrave RFH, Bremmer JC (1960) Complications of cleft palate surgery. Plast Reconstr Surg 26:180

    PubMed  Google Scholar 

  15. Oldfield MC (1949) Modern trends in hare-lip and cleft palate surgery, with review of 500 cases. Br J Surg 37:178

    PubMed  Google Scholar 

  16. Reinich JF, Sloan GM (1990) Complications of cleft lip repair. In: Bardach J, Morris H (eds) Multidisciplinary management of cleft lip and palate. Saunders, Philadelphia, pp 247–252

    Google Scholar 

  17. Schettler D (1973) Intra- and postoperative complications in surgical repair of clefts in infancy. J Maxillofac Surg 1:40

    PubMed  Google Scholar 

  18. Stewart DJ (1982) Preterm infants are more prone to complications following minor surgery than are term infants. Anesthesiology 56:304

    PubMed  Google Scholar 

  19. Tempest MN (1958) Some observations on blood loss in harelip and cleft palate surgery. Br J Plast Surg 11:34

    Google Scholar 

  20. Veau V (1931) Division palatine. Masson, Paris

    Google Scholar 

  21. Ward CM, James I (1990) Surgery of 346 patients with unoperated cleft lip and palate in Sri Lanka. Cleft Palate J 27:1

    PubMed  Google Scholar 

  22. Wilhemsen HR, Musgrave RH (1966) Complications of cleft lip surgery. Cleft Palate J 3:223

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

DeMey, A., Vadoud-Seyedi, J., Demol, F. et al. Early postoperative complications in primary cleft lip and palate surgery. Eur J Plast Surg 20, 77–79 (1997). https://doi.org/10.1007/BF01419137

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01419137

Key words

Navigation