Cleft Palate-Craniofacial Journal最新文献_第4页

Reconstructive Septorhinoplasty for Surgical Correction of Tessier's No. 0 Cleft in Adult Patients. 为成年 Tessier's 0 号裂隙患者进行鼻中隔重建手术。

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2025-08-01 Epub Date: 2024-06-11 DOI: 10.1177/10556656241261839

Mehr A Sazgar, Amir A Sazgar

引用次数: 0

"A National Review of Crowdfunding for Plagiocephaly Helmets". "畸形头盔众筹全国回顾"。

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2025-08-01 Epub Date: 2024-07-25 DOI: 10.1177/10556656241256728

B Podszus, J Pham, E Dopson, S Trivedi, V Yu, Y Guo

{"title":"\"A National Review of Crowdfunding for Plagiocephaly Helmets\".","authors":"B Podszus, J Pham, E Dopson, S Trivedi, V Yu, Y Guo","doi":"10.1177/10556656241256728","DOIUrl":"10.1177/10556656241256728","url":null,"abstract":"ObjectiveCustom prescription helmets for plagiocephaly may be a significant financial burden for families, especially when not covered by insurance. This study aims to identify factors that influence the success of crowdsourcing campaigns for this therapy.DesignGoFundMe campaigns were collected by searching terms such as \"plagiocephaly\" and \"baby helmet.\" Two reviewers analyzed each campaign for variables, including demographic data, story elements, and photo characteristics. Univariate logistic regression was used to determine each variable's impact on success, defined as attaining ≥75% of a campaign goal and significance of p ≤ 0.05.ResultsCampaign data from 2011 to 2022 were analyzed. Initial search yielded 1464 campaigns; among these 413 met final inclusion criteria. On average, campaigns raised $2005 (range: $0-$7799) and requested $3151 (range: $160-$30,000). In total, 228 (54%) achieved success, 167 (40%) met their goal, and 35 (8%) raised no funds. A total of $828,256 was raised from the requested $1,301,317. The average reported age was six months (range: 2-17 m). Significant factors associated with success were military affiliation, providing multiple images, including a quoted cost, providing campaign updates, indicating a sense of urgency, diagnosis of torticollis, and mentioning possible complications without treatment. Raising additional funds for therapy, multiple helmets, and unrelated medical costs negatively impacted success. Racial disparities were observed between campaigns. Additionally, regional differences were noted between campaigns.ConclusionsCrowdsourcing can be a successful endeavor for some families experiencing financial hardships from helmet therapy. This study highlights current gaps within healthcare coverage for helmet treatment and identifies various factors influencing crowdfunding campaigns.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1330-1339"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Same-day Discharge for Cleft Palate Repair: A Single-Surgeon Retrospective Analysis. 腭裂修复术当天出院：单个外科医生的回顾性分析

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2025-08-01 Epub Date: 2024-05-07 DOI: 10.1177/10556656241251932

Allison L Diaz, Leya Groysman, Liliana Camison, Roberto L Flores, David A Staffenberg

{"title":"Same-day Discharge for Cleft Palate Repair: A Single-Surgeon Retrospective Analysis.","authors":"Allison L Diaz, Leya Groysman, Liliana Camison, Roberto L Flores, David A Staffenberg","doi":"10.1177/10556656241251932","DOIUrl":"10.1177/10556656241251932","url":null,"abstract":"ObjectiveTo evaluate the safety of same-day discharge for patients undergoing primary cleft palate repairDesignSingle-surgeon retrospective reviewSettingTertiary care institutionPatients/Participants40 consecutive patients that underwent primary cleft palate repair by a single surgeon from September 2018 to June 2023InterventionsSame-day discharge versus overnight admission after primary palatoplastyMain Outcome Measures30-day readmission, reoperation, wound and all-cause complication rate and 1-year fistula incidenceResultsOf 40 total cases, 20 patients were discharged on the same calendar day and 20 patients were admitted for overnight stay following primary cleft palate repair. In the same-day discharge group, readmission incidence was 10%(n = 2), wound complication incidence was 5%(n = 1), and postoperative complication incidence was 15%(n = 3). In comparison, patients admitted overnight had a readmission incidence of 5%(n = 1, P = 1.00), wound complication incidence of 10%(n = 2, P = 1.00), and postoperative complications of 20%(n = 4, P = 1.00) No patients had 30-day reoperations or fistulas at 1 year. A higher proportion of admitted patients held a preoperative diagnosis of unilateral cleft palate and alveolus (Veau 3) as compared to patients discharged on the same day (P = .019). During the postoperative hospital course, admitted patients received significantly more oxycodone at median of 2 doses (IQR 1.00-3.75) and acetaminophen at a median of 4 doses (IQR 3.00-5.00) than patients with same-day discharge with a median of 1 dose (IQR 0.00 -1.00, P < .001).ConclusionsIn a low-risk patient population, same-day discharge following primary cleft palate repair may be safely undertaken and result in similar short-term outcomes and 1-year fistula incidence as patients admitted for overnight stay.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1304-1313"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Longitudinal Investigation of Nasolabial Changes With and Without Revision Surgery in Patients with Non-Syndromic Unilateral Cleft Lip and Palate. 非综合征单侧唇腭裂患者接受或不接受翻修手术后鼻唇沟变化的纵向研究。

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2025-08-01 Epub Date: 2024-05-30 DOI: 10.1177/10556656241256706

Wasna Dabbagh, Destin Groff, Lexi Stauffer, Mary Newland, Alexis Lo, Andrea Hiller, Ross E Long

{"title":"A Longitudinal Investigation of Nasolabial Changes With and Without Revision Surgery in Patients with Non-Syndromic Unilateral Cleft Lip and Palate.","authors":"Wasna Dabbagh, Destin Groff, Lexi Stauffer, Mary Newland, Alexis Lo, Andrea Hiller, Ross E Long","doi":"10.1177/10556656241256706","DOIUrl":"10.1177/10556656241256706","url":null,"abstract":"ObjectiveTo determine a baseline of anticipated change in nasolabial appearance following primary repair of unilateral cleft lip/palate and evaluate the degree to which revision surgery improves nasolabial appearance.DesignRetrospective chart review.SettingPatients treated at the Lancaster Cleft Palate Clinic interdisciplinary clinic.PatientsTwenty-three patients with complete unilateral cleft lip and palate who underwent primary surgical repair and 19 additional patients who underwent subsequent revision surgery were included.InterventionsPatients in the non-revision group underwent a Tennison-Randall triangular flap lip repair at 3mo. Patients in the revision group underwent a modification of the Nakajima straight-line repair after primary Tennison-Randall triangular flap lip repair at an average age of 141mo.Main Outcome MeasuresA modification of the Asher-McDade Aesthetic Index was utilized to evaluate Nasolabial Frontal (NLF), Nasolabial Profile (NLP), Vermillion Border (VB), and total change in appearance. Scores for patients in the revision group were evaluated before and after revision while appearance for patients without revision was evaluated at 3 distinct ages. Scores were averaged across time-points and inter-rater reliability was assessed.ResultsNasolabial appearance in the non-revision sample did not change significantly over time, except for nasal profile. Scores improved after revision surgery - NLP: 3.48 to 2.97, (p = 0.001); NLF: 3.50 to 2.95 (p = 0.001); and Total Nasolabial Score: 3.29 to 3.01 (p = 0.004), with no significant change in VB.ConclusionDecisions regarding need for nasolabial revision surgery may be made as early as 5yo with successful outcomes following secondary surgery improving appearance except for vermillion border appearance.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1376-1384"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12198462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141176718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gingivoperiosteoplasty in Children with Cleft Lip and Palate: The Need for Alveolar Bone Grafting. 唇腭裂儿童的龈骨整形术：牙槽骨移植的必要性。

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2025-08-01 Epub Date: 2024-05-22 DOI: 10.1177/10556656241256917

Darius Balumuka, Gwendolyn E Daly, Kelsi Krakauer, Samantha Burch, Breanna Jedrzejewski, Alicia Johnson, Lori K Howell, Erik M Wolfswinkel

{"title":"Gingivoperiosteoplasty in Children with Cleft Lip and Palate: The Need for Alveolar Bone Grafting.","authors":"Darius Balumuka, Gwendolyn E Daly, Kelsi Krakauer, Samantha Burch, Breanna Jedrzejewski, Alicia Johnson, Lori K Howell, Erik M Wolfswinkel","doi":"10.1177/10556656241256917","DOIUrl":"10.1177/10556656241256917","url":null,"abstract":"ObjectiveThis study aimed to determine the efficacy of gingivoperiosteoplasty (GPP) in preventing alveolar bone grafting (ABG) among children with cleft lip and palate (CLP).Design/SettingRetrospective university hospital single center study.PatientsChildren with CLP treated with GPP from 2000-2015 were included. Those under eight years of age, without definitive conclusions regarding need for ABG or with incomplete data were excluded.InterventionsIncluded patients were analyzed for demographics, cleft type, age at GPP, associated cleft surgery, use of nasoalveolar molding (NAM), indication for ABG, operating surgeon and presence of residual alveolar fistula. T-tests and Fisher's exact tests were utilized for statistical analysis.Main Outcome MeasureThe need for ABG.ResultsOf the 1682 children identified with CLP, 64 underwent GPP and met inclusion criteria. 78% of patients with CLP who underwent GPP were recommended for ABG. Those who received GPP at a younger age (P = .004) and at the time of initial cleft lip repair (P = .022) were less likely to be recommended for ABG. Patients with complete CLP were more likely to be recommended for ABG than patients with cleft lip and alveolus only (P = .015). The operating surgeon impacted the likelihood of ABG (P = .004). Patient gender, race, ethnicity, laterality, and NAM were not significantly associated with recommendation for ABG.ConclusionGPP does not preclude the need for ABG. Therefore, the success of ABG after GPP and maxillary growth restriction should be analyzed further to determine if GPP is a worthwhile adjunct to ABG in cleft care.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1395-1401"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tympanostomy Tube Otorrhea: Microbiological Differences Between Children with and Without Cleft Palate. 鼓室造口管溢耳：腭裂儿童与非腭裂儿童的微生物差异。

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2025-08-01 Epub Date: 2024-06-06 DOI: 10.1177/10556656241258567

Roberto N Solis, Kurtis Young, Oscar S Velazquez-Castro, Nicole I Farber, Travis T Tollefson, Craig W Senders, Jamie L Funamura

{"title":"Tympanostomy Tube Otorrhea: Microbiological Differences Between Children with and Without Cleft Palate.","authors":"Roberto N Solis, Kurtis Young, Oscar S Velazquez-Castro, Nicole I Farber, Travis T Tollefson, Craig W Senders, Jamie L Funamura","doi":"10.1177/10556656241258567","DOIUrl":"10.1177/10556656241258567","url":null,"abstract":"ObjectiveTo characterize and compare microbiological profiles in tympanostomy tube otorrhea for children with and without cleft palate.DesignRetrospective cohort study.SettingPediatric otolaryngology and multidisciplinary cleft/craniofacial clinic at a single tertiary care center.PatientsChildren with and without cleft palate <18 years of age who underwent tympanostomy tube placement between 2017-2021.Main outcome measuresOtopathogen profiles and antibiotic resistance patterns in ear culture specimens obtained in children presenting for treatment of recalcitrant post-tympanostomy tube otorrhea.ResultsOf the 886 children with tympanostomy tubes placed between 2017-2021, 345 (38.9%) had clinically significant otorrhea defined as requiring at least one otolaryngology visit for treatment. Children with cleft palate had higher rates of otorrhea (50.0% versus 35.7%; P < .01). In the 128 cultures obtained, Staphylococcus aureus was the most common organism in both groups present in 39.8% of cultures; 49% were methicillin-resistant (MRSA). Pseudomonas aeruginosa was also frequently isolated (20.0% versus 23.4%, P = .69) in children with and without cleft palate. Collectively, fluoroquinolone resistance was observed in 68.6% and 27.6% of the S. aureus and P. aeruginosa isolates, respectively, however, no differences in fluoroquinolone resistance were observed between cleft and non-cleft cohorts. Corynebacterium species were isolated more frequently in children with cleft palate (26.7% versus 6.1%, P < .01), a finding of unclear significance.ConclusionsRecalcitrant post-tympanostomy tube otorrhea is more common in children with cleft palate. MRSA was the most common isolate, which was commonly resistant to first-line fluoroquinolone therapy.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1363-1369"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Dedicated Multidisciplinary Growth and Feeding Clinic for Infants with Cleft Lip and/or Palate Demonstrates Need for Intervention. 为唇裂和/或腭裂婴儿开设的多学科生长与喂养专科门诊证明了干预的必要性。

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2025-08-01 Epub Date: 2024-06-11 DOI: 10.1177/10556656241258687

Kayla Prezelski, Daniel Villarreal Acha, Tuong-Vi Cindy Ngo, Caitlin Wilson, Vania Thrasher, Kandi Trevino, Cortney Van't Slot, Rami R Hallac, James R Seaward, Alex A Kane

{"title":"A Dedicated Multidisciplinary Growth and Feeding Clinic for Infants with Cleft Lip and/or Palate Demonstrates Need for Intervention.","authors":"Kayla Prezelski, Daniel Villarreal Acha, Tuong-Vi Cindy Ngo, Caitlin Wilson, Vania Thrasher, Kandi Trevino, Cortney Van't Slot, Rami R Hallac, James R Seaward, Alex A Kane","doi":"10.1177/10556656241258687","DOIUrl":"10.1177/10556656241258687","url":null,"abstract":"ObjectiveA Growth and Feeding Clinic (GFC) focused on early intervention around feeding routines in patients with cleft lip and/or palate (CL/P) was implemented.DesignThis study assessed the effect of preoperative feeding interventions provided by the GFC.SettingTertiary academic center.MethodsThis study evaluated patients with CL/P who were cared for by the GFC and a control group of patients with CL/P. Weight-for-age (WFA) Z-score of less than -2.00 was used as a cutoff to classify patients who were underweight during the preoperative period.Main Outcome MeasureThe number of underweight patients who were able to reach normal weight by the time of their cleft lip repair was used as the primary outcome measure.ResultsWithin both the GFC and control groups, 25% of patients with CL/P were underweight as determined by WFA Z-score. GFC patients who were underweight received more clinic visits (P < .001) and GFC interventions (P < .001) compared to GFC patients who were normal weight. At the time of cleft lip surgery, 64.1% of GFC underweight patients were normal weight compared to 31.8% of control group underweight patients (P = .0187).ConclusionThis study showed that multidisciplinary care provided by the GFC was able to target preoperative nutritional interventions to the highest-risk patients, resulting in double the percentage of patients who were of normal weight at the time of their cleft lip repair. These results provide objective proof supporting the assertion that multidisciplinary team care of the infant with cleft leads to measurable improvement in outcomes.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1410-1417"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12198457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141301915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Travel Distance and Spanish-Speaking are Associated with Delays in the Treatment of Cleft Palate. 旅行距离和讲西班牙语与腭裂治疗延迟有关。

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2025-08-01 Epub Date: 2024-05-22 DOI: 10.1177/10556656241256923

Eloise W Stanton, Danielle Rochlin, H Peter Lorenz, Clifford C Sheckter

{"title":"Travel Distance and Spanish-Speaking are Associated with Delays in the Treatment of Cleft Palate.","authors":"Eloise W Stanton, Danielle Rochlin, H Peter Lorenz, Clifford C Sheckter","doi":"10.1177/10556656241256923","DOIUrl":"10.1177/10556656241256923","url":null,"abstract":"ObjectiveDelayed repair of cleft palate is associated with worse speech outcomes. Social determinants of health may influence the timing of surgery; however, there are no population health investigations to evaluate factors such as travel distance, language barriers, and payer. This study sought to identify factors that may interfere with timely cleft palate repair.DesignRetrospective cohort.SettingNational/multi-center.Patients/ParticipantsAll cleft palate repairs within California were extracted from 2000-2021.Main Outcomes MeasuresThe primary outcome was age at surgical repair, which was modeled with linear regression. Covariates included race, primary language, distance from patient home to hospital, socioeconomic status, primary payer, and managed care enrollment status.Results11 260 patients underwent surgical repair of a cleft palate. Black race was associated with delayed repair (22 additional days, P = .004, 95% CI 67.00-37.7) along with Asian/Pacific-Islander race (11 additional days, P = .006, 95% CI 3.26-18.9) compared to white race. Spanish-speaking patients had significantly later cleft palate repairs by 19 days, (P < .001, 95% CI 10.8-27.7) compared with English-speaking. Further distances from the hospital were significantly associated with later cleft surgeries with out-of-state patients undergoing surgery 52 days later (P < .001, 95% CI 11.3-24.3). Managed care plans and Medi-Cal were significantly associated with earlier surgical repair compared with private insurance.ConclusionBlack, Asian Pacific Islander, and Spanish-speaking patients and greater distance traveled to hospital were associated with delayed cleft palate repairs. These results underscore the importance of addressing structural and social barriers to care to improve outcomes and reduce health disparities for patients with cleft palate.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1402-1409"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Nationwide Analysis of the Impact of Cardiopulmonary Anomalies on Cleft Palate Surgical Outcomes. 心肺异常对腭裂手术结果影响的全国性分析。

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2025-08-01 Epub Date: 2024-06-05 DOI: 10.1177/10556656241258525

Eloise W Stanton, Artur Manasyan, Idean Roohani, Katelyn Kondra, Karla Haynes, Mark M Urata, William P Magee, Jeffrey A Hammoudeh

{"title":"A Nationwide Analysis of the Impact of Cardiopulmonary Anomalies on Cleft Palate Surgical Outcomes.","authors":"Eloise W Stanton, Artur Manasyan, Idean Roohani, Katelyn Kondra, Karla Haynes, Mark M Urata, William P Magee, Jeffrey A Hammoudeh","doi":"10.1177/10556656241258525","DOIUrl":"10.1177/10556656241258525","url":null,"abstract":"ObjectiveTo increase awareness and improve perioperative care of patients with cleft palate (CP) and coexisting cardiopulmonary anomalies.DesignRetrospective cohort.SettingMulti-center.Patients/ParticipantsPatients who underwent surgical repair of CP between 2012-2020 identified in the American College of Surgeons National Surgical Quality Improvement Program Pediatric Data File. Chi-squared analysis and Student's t-test were implemented to make associations between congenital heart disease (CHD) and congenital pulmonary disease (CPD) and postoperative complications. Multiple logistic regression was performed to identify associations between CP and CHD/CPD while controlling for age, gender, and ASA class. C2 values were used to assess the logistic regressions, with a significance level of 0.05 indicating statistical significance.Main Outcomes MeasuresLength of stay (LOS), perioperative complications (readmission, reoperation, reintubation, wound dehiscence, cerebrovascular accidents, and mortality).Results9 96 181 patients were identified in the database, 17 786 of whom were determined to have CP, of whom 16.0% had congenital heart defects (CHD) and 13.2% had congenital pulmonary defects (CPD). Patients with CHD and CPD were at a significantly greater risk of increased LOS and all but one operative complication rate (wound dehiscence) relative to patients with CP without a history of CHD and CPD.ConclusionThis study suggests that congenital cardiopulmonary disease is associated with increased adverse outcomes in the setting of CP repair. Thus, heightened clinical suspicion for coexisting congenital anomalies in the presence of CP should prompt referring providers to perform a comprehensive and multidisciplinary evaluation to ensure cardiopulmonary optimization prior to surgical intervention.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1346-1351"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Inpatient versus Outpatient Alveolar Bone Grafting: A Nationwide Cost Analysis. 住院与门诊牙槽骨移植术：全国成本分析。

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2025-08-01 Epub Date: 2024-06-05 DOI: 10.1177/10556656241256916

Idean Roohani, Dylan G Choi, Eloise W Stanton, Collean Trotter, Marvee Turk, Priyanka Naidu, Mark M Urata, William P Magee, Jeffrey A Hammoudeh

{"title":"Inpatient versus Outpatient Alveolar Bone Grafting: A Nationwide Cost Analysis.","authors":"Idean Roohani, Dylan G Choi, Eloise W Stanton, Collean Trotter, Marvee Turk, Priyanka Naidu, Mark M Urata, William P Magee, Jeffrey A Hammoudeh","doi":"10.1177/10556656241256916","DOIUrl":"10.1177/10556656241256916","url":null,"abstract":"ObjectiveTo compare postoperative outcomes and costs between inpatient and outpatient ABG in the United States.DesignRetrospective cohort.SettingMulti-institutional/national.Patients and ParticipantsPatients who underwent ABG (n = 6649) were identified in the National Surgical Quality Improvement Program Pediatric database from 2012-2021. Inpatient and outpatient cohorts were matched using coarsened exact matching.Main outcomes measure(s)Thirty-day readmission, reoperation, and complications. A modified Markov model was developed to estimate the cost difference between cohorts. One-way and probabilistic sensitivity analyses were performed.ResultsAfter matching, 3718 patients were included, of which 1859 patients were in each hospital-setting cohort. The inpatient cohort had significantly higher rates of reoperations (0.6% vs. 0.2%; p = 0.032) and surgical site infections (0.8% vs. 0.2%; p = 0.018). The total cost of outpatient ABG was estimated to be $10,824 vs. $20,955 for inpatient ABG, resulting in $10,131 cost savings per patient. Probabilistic sensitivity analysis revealed that all 10,000 simulations resulted in consistent cost savings for the outpatient cohort that ranged from $8000 to $24,000.ConclusionsOutpatient ABG has become increasingly more popular over the past ten years, with a majority of cases being performed in the ambulatory setting. If deemed safe for the individual patient, outpatient ABG may confer a lower risk of nosocomial complications and offer significant cost savings to the healthcare economy.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1385-1394"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0