Immediate Postoperative Evaluation of the Surgical Wound and Nutritional Evolution after Cheiloplasty

Assunção, Antônio Guedes Alcoforado; Pinto, Maria Alice Farha; Peres, Suely Prieto de Barros Almeida; Tristão, Maria Teresa Cazal

doi:10.1597/02-086.1

Cited by 12 publications

(11 citation statements)

References 5 publications

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“…It concluded that in both groups the outcomes were positive and similar, suggesting the use of bottle feeding for children in the postoperative period after cheiloplasty (17) . Considering the several options of utensils for child feeding after cheiloplasty and palatoplasty, it is important to highlight that different utensils than those routinely used, besides unnecessary, contribute to increase the stress of both the child and the caregiver (3) .…”

Section: Discussionmentioning

confidence: 95%

Doubts of caregivers of children with cleft lip and palate on postoperative care after cheiloplasty and palatoplasty

Trettene

Razera

Maximiano

et al. 2014

Rev. esc. enferm. USP

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Doubts of caregivers of children with cleft lip and palate on postoperative care after cheiloplasty and palatoplastyTrettene AS, Razera APR, Maximiano TO, Luiz AG, Dalben GS, Gomide MR RESUMENObjetivo: Identificar las principales dudas de los cuidadores de niños con fisura labiopalatina acerca de los cuidados posoperatorios de las cirugías de queiloplastia y palatoplastia. Método: Estudio transversal llevado a cabo en un hospital de referencia, entre los meses de septiembre a noviembro de 2012. La muestra constó de 50 individuos divididos en dos grupos, siendo 25 cuidadores de niños sometidos a la queiloplastia y 25 niños sometidos a la palatoplastia. Las dudas fueron identificadas por medio de entrevista, realizada durante la consulta de Enfermería preoperatoria y, posteriormente, fueron categorizadas por similaridad. Se utilizó el análisis estadísti-co descriptivo para la construcción de los resultados. Resultados: Se observó que, con respecto a la queiloplastia, las dudas fueron acerca de la alimentación (36%), higienización y cicatrización (24% cada), y dolor e infección (8% cada). En cuanto a la palatoplastia, las dudas estuvieron relacionadas con: la alimentación (48%), higienización (24%), dolor (16%), sangrado (8%) e infección (4%). Conclusión: Se evidenció la preocupación de los cuidadores con respecto a la alimentación y los cuidados con la herida posoperatoria. DESCRIPTORESLabio leporino Fisura del paladar Periodo postoperatorio Cuidadores Enfermería pediátrica RESUMOObjetivo: Identificar as principais dúvidas dos cuidadores de crianças com fissura labiopalatina sobre os cuidados pós-operatórios das cirurgias de queiloplastia e palatoplastia. Método: Estudo transversal realizado em um hospital de referência, entre os meses de setembro a novembro de 2012. A amostra constou de 50 indiví-duos divididos em dois grupos, sendo 25 cuidadores de crianças submetidas à queiloplastia e 25 crianças submetidas à palatoplastia. As dúvidas foram identificadas por meio de entrevista, realizada durante a consulta de Enfermagem pré-operatória, e, posteriormente, foram categorizadas por similaridade. Utilizou-se a análise estatística descritiva para construção dos resultados. Resultados: Observou-se que, em relação à queiloplastia, as dúvidas foram sobre alimentação (36%), higienização e cicatrização (24% cada), e dor e infecção (8% cada). Quanto à palatoplastia, as dúvi-das se relacionaram à: alimentação (48%), higienização (24%), dor (16%), sangramento (8%) e infecção (4%). Conclusão: Evidenciou-se a preocupação dos cuidadores em relação à alimentação e aos cuidados com a ferida pós-operatória. DESCRITORESFenda labial Fissura palatina Período pós-operatório Cuidadores Enfermagem pediátrica ABSTRACTObjective: to identify the main doubts of caregivers of children with cleft lip and palate on postoperative care after cheiloplasty and palatoplasty. Method: crosssectional study carried out in a reference hospital, between September and November 2012. The sample was composed of 50 individuals divided in two groups, of which...

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Section: Discussionmentioning

confidence: 95%

Doubts of caregivers of children with cleft lip and palate on postoperative care after cheiloplasty and palatoplasty

Trettene

Razera

Maximiano

et al. 2014

Rev. esc. enferm. USP

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“…Risk of bias was at least “some concerns”; however, the overall level of evidence was highest in this group of manuscripts, with 3 randomized trials including one level I study. Studies differed if they compared cup feeds (Weatherley-White et al, 1987; Skinner et al, 1997), spoon feeds (Darzi et al, 1996; Assuncao et al, 2005; Augsornwan et al, 2013), or syringe feeds (Cohen et al, 1992; Augsornwan et al, 2013). Although outcome measures differed, no studies associated any negative outcomes with unrestricted feeding.…”

Section: Resultsmentioning

confidence: 99%

Perioperative Management of Cleft Lip Repair: A Meta-Analysis and Clinical Practice Guideline

Ranzer

Daniele

Purnell

2021

The Cleft Palate-Craniofacial Journal

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Objective: Few studies have focused on perioperative management of cleft lip repair. We sought to evaluate the available data on this topic to create evidence-based clinical guidelines. Design: Systematic review, meta-analysis. Methods: A PubMed search was performed focusing on perioperative management of cleft lip repair. Studies were included if they included comparative data. A systematic review and meta-analysis was performed according to preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Main Outcome Measures: Systematic review of literature regarding wound closure, postoperative arm restraints, perioperative antibiotics, outpatient or ambulatory surgery, or feeding restrictions postoperatively. Results: Twenty-three articles met inclusion criteria after initial screening of 3103 articles. This included 8 articles on wound closure, 2 on postoperative restraints, one on perioperative antibiotics, 6 on outpatient surgery, and 6 on postoperative feeding. Meta-analysis could be performed on dehiscence rates with postoperative feeding regimen and readmission rates after outpatient versus inpatient lip repair. There were few studies with low risk of bias. Outpatient cleft lip repair does not increase readmission (odds ratio [OR]: 0.92, 95% CI: 0.28-3.07). Allowing postoperative breastfeeding or bottle-feeding does not increase dehiscence (OR: 0.61, 95% CI: 0.19-1.95). There was no evidence of publication bias. Conclusion: Within the limitations of available data, there is no evidence of a clearly superior closure material. The evidence does not support use of postoperative arm restraints. The evidence does not support the use of preoperative nasal swabs for antibiotic guidance. With careful patient selection, outpatient cleft lip repair appears safe. The evidence supports immediate breastfeeding or bottle-feeding after cleft lip repair.

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“…However, unrestricted feeding by bottle or breast has been proven to have no adverse effect on the wound after ordinary cleft surgeries and is now advocated immediately after surgery at many institutions (Cohen et al, 1992;Darzi et al, 1996;Skinner et al, 1997;Assunção et al, 2005). Who can say that sucking would be more harmful to the wound than direct feeding?…”

Section: Discussionmentioning

confidence: 99%

Video Recording Study of Infants Undergoing Primary Cheiloplasty: Are Arm Restraints Really Needed?

Tokioka

Park

Sugawara

et al. 2009

The Cleft Palate-Craniofacial Journal

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Immediate Postoperative Evaluation of the Surgical Wound and Nutritional Evolution after Cheiloplasty

Cited by 12 publications

References 5 publications

Doubts of caregivers of children with cleft lip and palate on postoperative care after cheiloplasty and palatoplasty

Doubts of caregivers of children with cleft lip and palate on postoperative care after cheiloplasty and palatoplasty

Perioperative Management of Cleft Lip Repair: A Meta-Analysis and Clinical Practice Guideline

Video Recording Study of Infants Undergoing Primary Cheiloplasty: Are Arm Restraints Really Needed?

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