Cargando…

The use of throat packs in pediatric cleft lip/palate surgery: a retrospective study

OBJECTIVES: Throat packs are commonly used to prevent ingestion or aspiration of blood and other debris during cleft lip/palate surgery. However, dislodgement or (partial) retainment after extubation could have serious consequences. The aim of the present study was to investigate the effect of omitt...

Descripción completa

Detalles Bibliográficos
Autores principales: Smarius, B. J. A., Guillaume, C. H. A. L., Jonker, G., van der Molen, A. B. Mink, Breugem, C. C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6224011/
https://www.ncbi.nlm.nih.gov/pubmed/29473105
http://dx.doi.org/10.1007/s00784-018-2387-0
_version_ 1783369520328474624
author Smarius, B. J. A.
Guillaume, C. H. A. L.
Jonker, G.
van der Molen, A. B. Mink
Breugem, C. C.
author_facet Smarius, B. J. A.
Guillaume, C. H. A. L.
Jonker, G.
van der Molen, A. B. Mink
Breugem, C. C.
author_sort Smarius, B. J. A.
collection PubMed
description OBJECTIVES: Throat packs are commonly used to prevent ingestion or aspiration of blood and other debris during cleft lip/palate surgery. However, dislodgement or (partial) retainment after extubation could have serious consequences. The aim of the present study was to investigate the effect of omitting pharyngeal packing during cleft lip/palate surgery on the incidence of early postoperative complications in children. MATERIALS AND METHODS: A retrospective study was performed on all children who underwent cleft lip/palate surgery at the Wilhelmina Children’s Hospital. This study compared the period January 2010 through December 2012 when pharyngeal packing was applied according to local protocol (group A) with the period January 2013 till December 2015 when pharyngeal packing was no longer applied after removal from the protocol (group B). Data were collected for sex, age at operation, cleft lip/palate type, type of repair, lateral incisions, length of hospital stay, and complications in the first 6 weeks after surgery. Early complications included wound dehiscence, postoperative bleeding, infection, fever, upper respiratory tract infection (URTI), and lower respiratory tract infection (LRTI). RESULTS: This study included 489 cleft lip/palate operations (group A n = 246, group B n = 243). A total of 39 (15.9%) early complications were recorded in group A and a total of 40 (16.5%) in group B. There were no significant differences (P = 0.902) in complications between the two groups; however, there was a significant difference (P < 0.001) in length of hospital stay between the two groups (group A 3.6 days vs group B 3.2 days). CONCLUSION: Omitting routine placement of throat packs in cleft lip/palate surgery was not associated with an increased early postoperative complication rate. Therefore, the traditional, routine placement of a throat pack during cleft lip/palate surgery can be questioned. CLINICAL RELEVANCE: The traditional, routine placement of a throat pack during cleft lip/palate surgery can be questioned.
format Online
Article
Text
id pubmed-6224011
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Springer Berlin Heidelberg
record_format MEDLINE/PubMed
spelling pubmed-62240112018-11-19 The use of throat packs in pediatric cleft lip/palate surgery: a retrospective study Smarius, B. J. A. Guillaume, C. H. A. L. Jonker, G. van der Molen, A. B. Mink Breugem, C. C. Clin Oral Investig Original Article OBJECTIVES: Throat packs are commonly used to prevent ingestion or aspiration of blood and other debris during cleft lip/palate surgery. However, dislodgement or (partial) retainment after extubation could have serious consequences. The aim of the present study was to investigate the effect of omitting pharyngeal packing during cleft lip/palate surgery on the incidence of early postoperative complications in children. MATERIALS AND METHODS: A retrospective study was performed on all children who underwent cleft lip/palate surgery at the Wilhelmina Children’s Hospital. This study compared the period January 2010 through December 2012 when pharyngeal packing was applied according to local protocol (group A) with the period January 2013 till December 2015 when pharyngeal packing was no longer applied after removal from the protocol (group B). Data were collected for sex, age at operation, cleft lip/palate type, type of repair, lateral incisions, length of hospital stay, and complications in the first 6 weeks after surgery. Early complications included wound dehiscence, postoperative bleeding, infection, fever, upper respiratory tract infection (URTI), and lower respiratory tract infection (LRTI). RESULTS: This study included 489 cleft lip/palate operations (group A n = 246, group B n = 243). A total of 39 (15.9%) early complications were recorded in group A and a total of 40 (16.5%) in group B. There were no significant differences (P = 0.902) in complications between the two groups; however, there was a significant difference (P < 0.001) in length of hospital stay between the two groups (group A 3.6 days vs group B 3.2 days). CONCLUSION: Omitting routine placement of throat packs in cleft lip/palate surgery was not associated with an increased early postoperative complication rate. Therefore, the traditional, routine placement of a throat pack during cleft lip/palate surgery can be questioned. CLINICAL RELEVANCE: The traditional, routine placement of a throat pack during cleft lip/palate surgery can be questioned. Springer Berlin Heidelberg 2018-02-22 2018 /pmc/articles/PMC6224011/ /pubmed/29473105 http://dx.doi.org/10.1007/s00784-018-2387-0 Text en © The Author(s) 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
Smarius, B. J. A.
Guillaume, C. H. A. L.
Jonker, G.
van der Molen, A. B. Mink
Breugem, C. C.
The use of throat packs in pediatric cleft lip/palate surgery: a retrospective study
title The use of throat packs in pediatric cleft lip/palate surgery: a retrospective study
title_full The use of throat packs in pediatric cleft lip/palate surgery: a retrospective study
title_fullStr The use of throat packs in pediatric cleft lip/palate surgery: a retrospective study
title_full_unstemmed The use of throat packs in pediatric cleft lip/palate surgery: a retrospective study
title_short The use of throat packs in pediatric cleft lip/palate surgery: a retrospective study
title_sort use of throat packs in pediatric cleft lip/palate surgery: a retrospective study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6224011/
https://www.ncbi.nlm.nih.gov/pubmed/29473105
http://dx.doi.org/10.1007/s00784-018-2387-0
work_keys_str_mv AT smariusbja theuseofthroatpacksinpediatriccleftlippalatesurgeryaretrospectivestudy
AT guillaumechal theuseofthroatpacksinpediatriccleftlippalatesurgeryaretrospectivestudy
AT jonkerg theuseofthroatpacksinpediatriccleftlippalatesurgeryaretrospectivestudy
AT vandermolenabmink theuseofthroatpacksinpediatriccleftlippalatesurgeryaretrospectivestudy
AT breugemcc theuseofthroatpacksinpediatriccleftlippalatesurgeryaretrospectivestudy
AT smariusbja useofthroatpacksinpediatriccleftlippalatesurgeryaretrospectivestudy
AT guillaumechal useofthroatpacksinpediatriccleftlippalatesurgeryaretrospectivestudy
AT jonkerg useofthroatpacksinpediatriccleftlippalatesurgeryaretrospectivestudy
AT vandermolenabmink useofthroatpacksinpediatriccleftlippalatesurgeryaretrospectivestudy
AT breugemcc useofthroatpacksinpediatriccleftlippalatesurgeryaretrospectivestudy