Fillies Thomas, Homann Christoph, Meyer Ulrich, Reich Alexander, Joos Ulrich, Werkmeister Richard
Department of Cranio-Maxillofacial Surgery, University Münster, Waldeyerstr, Münster, Germany.
Head Face Med. 2007 Feb 5;3:9. doi: 10.1186/1746-160X-3-9.
Cleft surgery in infants includes special risks due to the kind of the malformation. These risks can be attributed in part to the age and the weight of the patient. Whereas a lot of studies investigated the long-term facial outcome of cleft surgery depending on the age at operation, less is known about the complications arising during a cleft surgery in early infancy.
We investigated the incidence and severity of perioperative complications in 174 infants undergoing primary cleft surgery. The severity and the complications were recorded during the intraoperative and the early postoperative period according to the classification by Cohen.
Our study revealed that minor complications occurred in 50 patients. Severe complications were observed during 13 operations. There was no fatal complication in the perioperative period. The risk of complications was found to be directly correlated to the body weight at the time of the surgery. Most of the problems appeared intraoperatively, but they were also followed by complications immediately after the extubation.
In conclusion, cleft surgery in infancy is accompanied by frequent and sometimes severe perioperative complications that may be attributed to this special surgical field.
由于畸形的类型，婴儿唇腭裂手术存在特殊风险。这些风险部分可归因于患者的年龄和体重。虽然许多研究根据手术时的年龄调查了唇腭裂手术的长期面部效果，但对于早期婴儿唇腭裂手术期间出现的并发症了解较少。
我们调查了174例接受一期唇腭裂手术的婴儿围手术期并发症的发生率和严重程度。根据科恩的分类，在术中和术后早期记录并发症的严重程度。
我们的研究显示，50例患者出现轻微并发症。13例手术中观察到严重并发症。围手术期无致命并发症。发现并发症风险与手术时的体重直接相关。大多数问题出现在术中，但拔管后也立即出现并发症。
总之，婴儿唇腭裂手术伴有频繁且有时严重的围手术期并发症，这可能归因于这个特殊的手术领域。
