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4 - Difficulties in anesthesia of cleft palate operations: Our experimentations between 1999-2004
Leyla Türkoğlu Kılınç, Semra Karşıdağ, Bülent Saçak, Melahat Karatmanlı, Ayşe Hancı, Ulufer Sivrikaya, Lütfü Baş
Objective: 93 cases of cleft palate, operated by department of plastic and reconstructive surgery in. our hospital between 1999-2004, were evaluated.
Study design: In this retrospective analysis of the patient records, patients were evaluated according to age, gender, accompanied malformations, type and duration of operation, and peroperative and postoperative complications.
Results: 37 percent of 93 patients were female while 63 percent were male. Mean age were 25±10 and 23±I2 months for female and male patients, respectively. 2 of the patients (2%) were diagnosed as Pierre-Rohin sequence, 1 patient (1%) as Larsen syndrome. Two of the patients (2%) were presented with atrial septal defect (ASD), one of the patients (1%) had ventricular septal defect (VSD), while 1 patient (1%) had renal and ana1 agenesis. 72 of the patients (77%) were used Veau Wardill Kilner technique, 15 of the patients (16%) were performed Von Langenbeck tecnique and 6 of the patients (7%) were repaired Furlow tecnique. Average of operation time was 188+25 minutes. Three of our patients (3%) could not be entubated and consequently operated. I / of the patients (12%) experienced postoperative respiratory stress and followed up in ICC for a limited time. Blindness devoloped in 2 of the patients (2%).
Conclusion: In spite of the improving technologies and growing experience in anesthesiology and. plastic surgery, cleft palate patients remains as a challenging task due to specific comorbid conditions and postoperative complications.
Keywords: Cleft palate surgery, anaesthesia
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