Loading…
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 omitti...
Saved in:
| Published in: | Clinical oral investigations 2018-12, Vol.22 (9), p.3053-3059 |
|---|---|
| Main Authors: | , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c470t-2b14c92a21b8253fe7392416a2959a63edd8dec4c6634bea0ef4281345aaf6923 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c470t-2b14c92a21b8253fe7392416a2959a63edd8dec4c6634bea0ef4281345aaf6923 |
| container_end_page | 3059 |
| container_issue | 9 |
| container_start_page | 3053 |
| container_title | Clinical oral investigations |
| container_volume | 22 |
| creator | Smarius, B. J. A. Guillaume, C. H. A. L. Jonker, G. van der Molen, A. B. Mink Breugem, C. C. |
| 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
|
| doi_str_mv | 10.1007/s00784-018-2387-0 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6224011</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2010927978</sourcerecordid><originalsourceid>FETCH-LOGICAL-c470t-2b14c92a21b8253fe7392416a2959a63edd8dec4c6634bea0ef4281345aaf6923</originalsourceid><addsrcrecordid>eNp1kctuFDEQRS0URB7wAWyQpWzYdOLX-MECCUUkQYrEZlhbNe7qjJOe7sZ2R5q_x5MJCSCxsS3VqVuuewl5z9kZZ8yc53pY1TBuGyGtadgrcsSV1I00hh88vkWjneWH5DjnO8a40ka-IYfCKSM5WxyR5XKNdM5Ix46WdRqh0AnCfaZxoBO2EUqKgYYeu0L7OJ1P0ENBmud0i2n7iQJNWNKYJwwlPtRCmdvtW_K6gz7ju6f7hPy4_Lq8uG5uvl99u_hy0wRlWGnEiqvgBAi-smIhOzTSCcU1CLdwoCW2rW0xqKC1VCsEhp0Slku1AOi0E_KEfN7rTvNqg23AoSTo_ZTiBtLWjxD935Uhrv3t-OC1EIpxXgU-Pgmk8eeMufhNzAH7HgYc5-xFNdhZpbSt6Ok_6N04p6GuVynOnDDO7Ci-p0L1JCfsnj_Dmd9l5veZ-ZqZ32XmWe358OcWzx2_Q6qA2AO5lobq-8vo_6v-Ahgnohw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2010927978</pqid></control><display><type>article</type><title>The use of throat packs in pediatric cleft lip/palate surgery: a retrospective study</title><source>Springer Nature</source><creator>Smarius, B. J. A. ; Guillaume, C. H. A. L. ; Jonker, G. ; van der Molen, A. B. Mink ; Breugem, C. C.</creator><creatorcontrib>Smarius, B. J. A. ; Guillaume, C. H. A. L. ; Jonker, G. ; van der Molen, A. B. Mink ; Breugem, C. C.</creatorcontrib><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.</description><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-018-2387-0</identifier><identifier>PMID: 29473105</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Airway Management - instrumentation ; Child ; Child, Preschool ; Children ; Cleft Lip - surgery ; Cleft lip/palate ; Cleft Palate - surgery ; Dehiscence ; Dentistry ; Extubation ; Female ; Fever ; Humans ; Infant ; Infections ; Length of Stay - statistics & numerical data ; Male ; Medicine ; Original ; Original Article ; Packaging ; Packing ; Pharynx ; Postoperative Complications - epidemiology ; Postoperative Complications - prevention & control ; Respiratory tract diseases ; Retrospective Studies ; Surgery ; Treatment Outcome</subject><ispartof>Clinical oral investigations, 2018-12, Vol.22 (9), p.3053-3059</ispartof><rights>The Author(s) 2018</rights><rights>Clinical Oral Investigations is a copyright of Springer, (2018). All Rights Reserved. © 2018. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-2b14c92a21b8253fe7392416a2959a63edd8dec4c6634bea0ef4281345aaf6923</citedby><cites>FETCH-LOGICAL-c470t-2b14c92a21b8253fe7392416a2959a63edd8dec4c6634bea0ef4281345aaf6923</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29473105$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Smarius, B. J. A.</creatorcontrib><creatorcontrib>Guillaume, C. H. A. L.</creatorcontrib><creatorcontrib>Jonker, G.</creatorcontrib><creatorcontrib>van der Molen, A. B. Mink</creatorcontrib><creatorcontrib>Breugem, C. C.</creatorcontrib><title>The use of throat packs in pediatric cleft lip/palate surgery: a retrospective study</title><title>Clinical oral investigations</title><addtitle>Clin Oral Invest</addtitle><addtitle>Clin Oral Investig</addtitle><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.</description><subject>Adolescent</subject><subject>Airway Management - instrumentation</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Cleft Lip - surgery</subject><subject>Cleft lip/palate</subject><subject>Cleft Palate - surgery</subject><subject>Dehiscence</subject><subject>Dentistry</subject><subject>Extubation</subject><subject>Female</subject><subject>Fever</subject><subject>Humans</subject><subject>Infant</subject><subject>Infections</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Medicine</subject><subject>Original</subject><subject>Original Article</subject><subject>Packaging</subject><subject>Packing</subject><subject>Pharynx</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - prevention & control</subject><subject>Respiratory tract diseases</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><issn>1432-6981</issn><issn>1436-3771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp1kctuFDEQRS0URB7wAWyQpWzYdOLX-MECCUUkQYrEZlhbNe7qjJOe7sZ2R5q_x5MJCSCxsS3VqVuuewl5z9kZZ8yc53pY1TBuGyGtadgrcsSV1I00hh88vkWjneWH5DjnO8a40ka-IYfCKSM5WxyR5XKNdM5Ix46WdRqh0AnCfaZxoBO2EUqKgYYeu0L7OJ1P0ENBmud0i2n7iQJNWNKYJwwlPtRCmdvtW_K6gz7ju6f7hPy4_Lq8uG5uvl99u_hy0wRlWGnEiqvgBAi-smIhOzTSCcU1CLdwoCW2rW0xqKC1VCsEhp0Slku1AOi0E_KEfN7rTvNqg23AoSTo_ZTiBtLWjxD935Uhrv3t-OC1EIpxXgU-Pgmk8eeMufhNzAH7HgYc5-xFNdhZpbSt6Ok_6N04p6GuVynOnDDO7Ci-p0L1JCfsnj_Dmd9l5veZ-ZqZ32XmWe358OcWzx2_Q6qA2AO5lobq-8vo_6v-Ahgnohw</recordid><startdate>20181201</startdate><enddate>20181201</enddate><creator>Smarius, B. J. A.</creator><creator>Guillaume, C. H. A. L.</creator><creator>Jonker, G.</creator><creator>van der Molen, A. B. Mink</creator><creator>Breugem, C. C.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20181201</creationdate><title>The use of throat packs in pediatric cleft lip/palate surgery: a retrospective study</title><author>Smarius, B. J. A. ; Guillaume, C. H. A. L. ; Jonker, G. ; van der Molen, A. B. Mink ; Breugem, C. C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-2b14c92a21b8253fe7392416a2959a63edd8dec4c6634bea0ef4281345aaf6923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Airway Management - instrumentation</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Cleft Lip - surgery</topic><topic>Cleft lip/palate</topic><topic>Cleft Palate - surgery</topic><topic>Dehiscence</topic><topic>Dentistry</topic><topic>Extubation</topic><topic>Female</topic><topic>Fever</topic><topic>Humans</topic><topic>Infant</topic><topic>Infections</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Medicine</topic><topic>Original</topic><topic>Original Article</topic><topic>Packaging</topic><topic>Packing</topic><topic>Pharynx</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - prevention & control</topic><topic>Respiratory tract diseases</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Smarius, B. J. A.</creatorcontrib><creatorcontrib>Guillaume, C. H. A. L.</creatorcontrib><creatorcontrib>Jonker, G.</creatorcontrib><creatorcontrib>van der Molen, A. B. Mink</creatorcontrib><creatorcontrib>Breugem, C. C.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Biological Science Journals</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinical oral investigations</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Smarius, B. J. A.</au><au>Guillaume, C. H. A. L.</au><au>Jonker, G.</au><au>van der Molen, A. B. Mink</au><au>Breugem, C. C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The use of throat packs in pediatric cleft lip/palate surgery: a retrospective study</atitle><jtitle>Clinical oral investigations</jtitle><stitle>Clin Oral Invest</stitle><addtitle>Clin Oral Investig</addtitle><date>2018-12-01</date><risdate>2018</risdate><volume>22</volume><issue>9</issue><spage>3053</spage><epage>3059</epage><pages>3053-3059</pages><issn>1432-6981</issn><eissn>1436-3771</eissn><abstract>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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>29473105</pmid><doi>10.1007/s00784-018-2387-0</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1432-6981 |
| ispartof | Clinical oral investigations, 2018-12, Vol.22 (9), p.3053-3059 |
| issn | 1432-6981 1436-3771 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6224011 |
| source | Springer Nature |
| subjects | Adolescent Airway Management - instrumentation Child Child, Preschool Children Cleft Lip - surgery Cleft lip/palate Cleft Palate - surgery Dehiscence Dentistry Extubation Female Fever Humans Infant Infections Length of Stay - statistics & numerical data Male Medicine Original Original Article Packaging Packing Pharynx Postoperative Complications - epidemiology Postoperative Complications - prevention & control Respiratory tract diseases Retrospective Studies Surgery Treatment Outcome |
| title | The use of throat packs in pediatric cleft lip/palate surgery: a retrospective study |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T00%3A18%3A57IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20use%20of%20throat%20packs%20in%20pediatric%20cleft%20lip/palate%20surgery:%20a%20retrospective%20study&rft.jtitle=Clinical%20oral%20investigations&rft.au=Smarius,%20B.%20J.%20A.&rft.date=2018-12-01&rft.volume=22&rft.issue=9&rft.spage=3053&rft.epage=3059&rft.pages=3053-3059&rft.issn=1432-6981&rft.eissn=1436-3771&rft_id=info:doi/10.1007/s00784-018-2387-0&rft_dat=%3Cproquest_pubme%3E2010927978%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c470t-2b14c92a21b8253fe7392416a2959a63edd8dec4c6634bea0ef4281345aaf6923%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2010927978&rft_id=info:pmid/29473105&rfr_iscdi=true |