Onah I I, Amanari C O, Onwuagha I, Jac-Okereke C A
Department of Plastic Surgery, National Orthopaedic Hospital, Enugu.
Ann Ib Postgrad Med. 2020 Jun;18(1):S39-S44.
Despite an increase in the number of palatoplasty procedures at the National Orthopaedic Hospital Enugu (NOHE) sequel to a partnership with Smile Train, no reports on subsequent outcomes have been published. We investigated the speech outcomes and rates of fistula formation, the relationship between introduction of solids and incidence of post-operative oronasal fistulae and the benefits of post-operative honey licks.
To determine the outcome of palatal repairs performed at our center in relation to the timing and nature of post-operative feeds.
This was a cohort study of patients who had palatoplasty over a five-year period and were subsequently followed up for a maximum period of 9 years. The patient's present condition, timing of first feeds, onset of solid feeds, honey licks, frequency of wound dehiscence, fistula formation, and speech outcomes were assessed. The evaluation for a fistula was made from two weeks after the surgery by a senior resident in plastic surgery. Analysis was done using SPSS version 21.0 and p value set at <0.05.
A total of 115 surgeries: 90 primary cleft palate repairs, 6 combined cleft lip and palate surgeries and 19 secondary cleft palate repairs were done. Male to female ratio was 1:1.3. Age range of patients was 6 weeks to 36 years. Timing of introduction of solid meals significantly affected incidence of repair breakdown; and 58% had normal to near-normal speech.
Licking honey was associated with fewer wound breakdowns. Early return to solid feeds is associated with a higher incidence of wound breakdown following palate repair.
在与“微笑列车”合作后，埃努古国立骨科医院（NOHE）的腭裂修复手术数量有所增加，但后续结果尚无相关报道。我们调查了语音结果和瘘管形成率、固体食物引入与术后口鼻瘘发生率之间的关系以及术后舔蜂蜜的益处。
确定在我们中心进行的腭裂修复手术与术后喂养时间和性质相关的结果。
这是一项对在五年内接受腭裂修复手术且随后随访最长9年的患者进行的队列研究。评估了患者的当前状况、首次喂养时间、固体食物引入时间、舔蜂蜜情况、伤口裂开频率、瘘管形成情况和语音结果。由一名整形外科高级住院医师在手术后两周对瘘管进行评估。使用SPSS 21.0版本进行分析，设定p值<0.05。
共进行了115例手术：90例原发性腭裂修复术、6例唇腭裂联合手术和19例继发性腭裂修复术。男女比例为1:1.3。患者年龄范围为6周至36岁。固体食物引入时间显著影响修复失败的发生率；58%的患者语音正常或接近正常。
舔蜂蜜与伤口裂开较少有关。腭裂修复术后过早恢复固体食物与伤口裂开发生率较高有关。
