ISSN: 2149-2247 | E-ISSN: 2149-2549
Volume : 44 Issue : 4 Year : 2022
Anesthetic Approach and Perioperative Complications in Cleft Lip/Palate Surgery: A Single Center Retrospective Study [Erciyes Med J]
Erciyes Med J. 2022; 44(4): 416-422 | DOI: 10.14744/etd.2022.98958

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

Murat Tümer, Aysun Ankay Yilbas, Merve Göknur Soysal Kaya, Bensu Karakoyak, Kayacan Kaya, Özgür Canbay
Department of Anesthesiology and Reanimation, Hacettepe University Faculty of Medicine, Ankara, Türkiye

Objective: The objective of this study was to determine factors that may affect anesthesia and surgical complications, diffi-cult 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 complica-tions 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. Iso-lated 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 pa-tients who were nonsyndromic and/or >1 year of age. Therefore, special attention should be paid to the anesthesia and surgical management of these patients.

Keywords: Airway management, cleft lip and palate, difficult airway, pediatric anesthesia, video laryngoscopy.

Murat Tümer, Aysun Ankay Yilbas, Merve Göknur Soysal Kaya, Bensu Karakoyak, Kayacan Kaya, Özgür Canbay. Anesthetic Approach and Perioperative Complications in Cleft Lip/Palate Surgery: A Single Center Retrospective Study. Erciyes Med J. 2022; 44(4): 416-422

Corresponding Author: Murat Tümer, Türkiye
Manuscript Language: English
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