Anesthetic Approach and Perioperative Complications
in Cleft Lip/Palate Surgery: A Single Center
Retrospective Study

Tümer, Murat; Karakoyak, Bensu; Ankay Yilbas, Aysun; Kaya, Kayacan; canbay, ozgur; Soysal kaya, Merve göknur

doi:10.14744/etd.2022.98958

Anesthetic Approach and Perioperative Complications in Cleft Lip/Palate Surgery: A Single Center Retrospective Study

Murat TÜMER, (Hacettepe Üniversite, Tıp Fakültesi ,Anesteziyoloji Anabilim Dalı ve Reanimasyon, Ankara, Türkiye)

Aysun YILBAŞ, (Hacettepe Üniversite, Tıp Fakültesi ,Anesteziyoloji Anabilim Dalı ve Reanimasyon, Ankara, Türkiye)

Merve Göknur SOYSAL KAYA, (Hacettepe Üniversite, Tıp Fakültesi ,Anesteziyoloji Anabilim Dalı ve Reanimasyon, Ankara, Türkiye)

Bensu KARAKOYAK, (Hacettepe Üniversite, Tıp Fakültesi ,Anesteziyoloji Anabilim Dalı ve Reanimasyon, Ankara, Türkiye)

Kayacan KAYA, (Hacettepe Üniversite, Tıp Fakültesi ,Anesteziyoloji Anabilim Dalı ve Reanimasyon, Ankara, Türkiye)

Özgür CANBAY (Hacettepe Üniversite, Tıp Fakültesi ,Anesteziyoloji Anabilim Dalı ve Reanimasyon, Ankara, Türkiye)

Erciyes Medical Journal

3 2

Yıl: 2022 Cilt: 44 Sayı: 4 Sayfa Aralığı: 416 - 422 Metin Dili: İngilizce DOI: 10.14744/etd.2022.98958 İndeks Tarihi: 25-07-2022

Anesthetic Approach and Perioperative Complications in Cleft Lip/Palate Surgery: A Single Center Retrospective Study

Öz:

Objective: The objective of this study was to determine factors that may affect anesthesia and surgical complications, difficult airway, and the need for intensive care unit (ICU) care in cleft lip and cleft palate (CLCP) surgeries. Materials and Methods: The study was a retrospective review of the records of 617 patients who underwent CLCP surgery between 2015–2019. Results: The number of anesthesia complications was higher in patients with difficult mask ventilation. Surgical complications were more common in patients >1 year of age. Isolated cleft palate (CP) surgery; presence of a concomitant disease, syndrome, or micrognathia; age >1 year; and the CP subtype were associated with a higher rate of difficult intubation. Isolated cleft palate, concomitant disease, syndrome, micrognathia, difficult intubation, difficult mask ventilation, and anesthesia complications were associated with ICU admission. Conclusion: The CP subtype was associated with a higher rate of difficult intubation and ICU hospitalization even in patients who were nonsyndromic and/or >1 year of age. Therefore, special attention should be paid to the anesthesia and surgical management of these patients.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Desalu I, Adeyemo WL, Akintimoye MO, Adepoju AA. Airway and respiratory complications in children undergoing cleft lip and palate repair. Ghana Med J 2010; 44(1): 16–20.
2. Mukozawa M, Kono T, Fujiwara S, Tatakura K. Late onset tongue edema after palatoplasty. Acta Anaesthesiol Taiwan 2011; 49(1): 29–31.
3. Raghavan U, Vijayadev V, Rao D, Ullas G. Postoperative management of cleft lip and palate surgery. Facial Plastic Surgery 2018; 34(6): 605–11.
4. Ankay Yılbaş A, Tümer M, Canbay O. Anesthesia management of infants with cleft lip and palate with difficult airway expected. In: Özgü FF, editor. Cleft palate and lip, Hacettepe team approach (published in Turkish). Ankara: Hekim Kitapevi; 2004. p.256–67.
5. Cormack RS, Lehane J. Difficult tracheal intubation in obstetrics. Anaesthesia 1984; 39(11): 1105–11.
6. Baum VC, O’Flaherty JE. Anesthesia for genetic, metabolic and dysmorphic syndromes of childhood. 3rd ed. Pennsylvania: Lippincott Williams & Wilkins; 2015.
7. Calzolari E, Pierini A, Astolfi G, Bianchi F, Neville AJ, Rivieri F. Associated anomalies in multi-malformed infants with cleft lip and palate: An epidemiologic study of nearly 6 million births in 23 EUROCAT registries. Am J Med Genet A 2007; 143A(6): 528–37.
8. Davis PJ, Cladis FP, Motoyama EK. Smith’s anesthesia for infants and children. 8th ed. Philadelphia, PA: Elsevier Mosby; 2011.
9. Kasatwar A, Borle R, Bhola N, K R, Prasad GSV, Jadhav A. Prevalence of congenital cardiac anomalies in patients with cleft lip and palate - Its implications in surgical management. J Oral Biol Craniofac Res 2018; 8(3): 241–4.
10. Gunawardana RH. Difficult laryngoscopy in cleft lip and palate surgery. Br J Anaesth 1996; 76(6): 757–9.
11. Xue FS, Zhang GH, Li P, Sun HT, Li CW, Liu KP, et al. The clinical observation of difficult laryngoscopy and difficult intubation in infants with cleft lip and palate. Paediatr Anaesth 2006; 16(3): 283–9.
12. Arteau-Gauthier I, Leclerc JE, Godbout A. Can we predict a difficult intubation in cleft lip/palate patients? J Otolaryngol Head Neck Surg 2011; 40(5): 413–9.
13. Heinrich S, Birkholz T, Ihmsen H, Irouschek A, Ackermann A, Schmidt J. Incidence and predictors of difficult laryngoscopy in 11,219 pediatric anesthesia procedures. Paediatr Anaesth 2012; 22(8): 729–36.
14. Cook TM, El-Boghdadly K, McGuire B, McNarry AF, Patel A, Higgs A. Consensus guidelines for managing the airway in patients with COVID-19: Guidelines from the Difficult Airway Society, the Association of Anaesthetists the Intensive Care Society, the Faculty of Intensive Care Medicine and the Royal College of Anaesthetists. Anaesthesia. 2020; 75(6): 785–99.
15. Mahboubi H, Truong A, Pham NS. Prevalence, demographics, and complications of cleft palate surgery. Int J Pediatr Otorhinolaryngol 2015; 79(6): 803–7.
16. Jackson O, Basta M, Sonnad S, Stricker P, Larossa D, Fiadjoe J. Perioperative risk factors for adverse airway events in patients undergoing cleft palate repair. Cleft Palate Craniofac J 2013; 50(3): 330–6.
17. Brailsford J, Smith D, Lizarraga A, Bermudez L. Surgical management of patients with cleft palate. Or Nurse 2010; 4: 16–25.
18. Tümer M, Ayyıldız A, Akça B, Ankay Yılbas A, Uzumcugil F, Canbay O. Perioperative complications and concomitant diseases of patients followed in intensive care unit after cleft lip-palate surgery. JARSS 2021; 29(1): 65–70.

APA	Tümer M, Ankay Yilbas A, Soysal kaya M, Karakoyak B, Kaya K, canbay o (2022). Anesthetic Approach and Perioperative Complications in Cleft Lip/Palate Surgery: A Single Center Retrospective Study. , 416 - 422. 10.14744/etd.2022.98958
Chicago	Tümer Murat,Ankay Yilbas Aysun,Soysal kaya Merve göknur,Karakoyak Bensu,Kaya Kayacan,canbay ozgur Anesthetic Approach and Perioperative Complications in Cleft Lip/Palate Surgery: A Single Center Retrospective Study. (2022): 416 - 422. 10.14744/etd.2022.98958
MLA	Tümer Murat,Ankay Yilbas Aysun,Soysal kaya Merve göknur,Karakoyak Bensu,Kaya Kayacan,canbay ozgur Anesthetic Approach and Perioperative Complications in Cleft Lip/Palate Surgery: A Single Center Retrospective Study. , 2022, ss.416 - 422. 10.14744/etd.2022.98958
AMA	Tümer M,Ankay Yilbas A,Soysal kaya M,Karakoyak B,Kaya K,canbay o Anesthetic Approach and Perioperative Complications in Cleft Lip/Palate Surgery: A Single Center Retrospective Study. . 2022; 416 - 422. 10.14744/etd.2022.98958
Vancouver	Tümer M,Ankay Yilbas A,Soysal kaya M,Karakoyak B,Kaya K,canbay o Anesthetic Approach and Perioperative Complications in Cleft Lip/Palate Surgery: A Single Center Retrospective Study. . 2022; 416 - 422. 10.14744/etd.2022.98958
IEEE	Tümer M,Ankay Yilbas A,Soysal kaya M,Karakoyak B,Kaya K,canbay o "Anesthetic Approach and Perioperative Complications in Cleft Lip/Palate Surgery: A Single Center Retrospective Study." , ss.416 - 422, 2022. 10.14744/etd.2022.98958
ISNAD	Tümer, Murat vd. "Anesthetic Approach and Perioperative Complications in Cleft Lip/Palate Surgery: A Single Center Retrospective Study". (2022), 416-422. https://doi.org/10.14744/etd.2022.98958

APA	Tümer M, Ankay Yilbas A, Soysal kaya M, Karakoyak B, Kaya K, canbay o (2022). Anesthetic Approach and Perioperative Complications in Cleft Lip/Palate Surgery: A Single Center Retrospective Study. Erciyes Medical Journal, 44(4), 416 - 422. 10.14744/etd.2022.98958
Chicago	Tümer Murat,Ankay Yilbas Aysun,Soysal kaya Merve göknur,Karakoyak Bensu,Kaya Kayacan,canbay ozgur Anesthetic Approach and Perioperative Complications in Cleft Lip/Palate Surgery: A Single Center Retrospective Study. Erciyes Medical Journal 44, no.4 (2022): 416 - 422. 10.14744/etd.2022.98958
MLA	Tümer Murat,Ankay Yilbas Aysun,Soysal kaya Merve göknur,Karakoyak Bensu,Kaya Kayacan,canbay ozgur Anesthetic Approach and Perioperative Complications in Cleft Lip/Palate Surgery: A Single Center Retrospective Study. Erciyes Medical Journal, vol.44, no.4, 2022, ss.416 - 422. 10.14744/etd.2022.98958
AMA	Tümer M,Ankay Yilbas A,Soysal kaya M,Karakoyak B,Kaya K,canbay o Anesthetic Approach and Perioperative Complications in Cleft Lip/Palate Surgery: A Single Center Retrospective Study. Erciyes Medical Journal. 2022; 44(4): 416 - 422. 10.14744/etd.2022.98958
Vancouver	Tümer M,Ankay Yilbas A,Soysal kaya M,Karakoyak B,Kaya K,canbay o Anesthetic Approach and Perioperative Complications in Cleft Lip/Palate Surgery: A Single Center Retrospective Study. Erciyes Medical Journal. 2022; 44(4): 416 - 422. 10.14744/etd.2022.98958
IEEE	Tümer M,Ankay Yilbas A,Soysal kaya M,Karakoyak B,Kaya K,canbay o "Anesthetic Approach and Perioperative Complications in Cleft Lip/Palate Surgery: A Single Center Retrospective Study." Erciyes Medical Journal, 44, ss.416 - 422, 2022. 10.14744/etd.2022.98958
ISNAD	Tümer, Murat vd. "Anesthetic Approach and Perioperative Complications in Cleft Lip/Palate Surgery: A Single Center Retrospective Study". Erciyes Medical Journal 44/4 (2022), 416-422. https://doi.org/10.14744/etd.2022.98958