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Evaluating the Outcomes of a Two-stage Surgical Restoration of Newborn Cleft Palate at Hamedan Besat Hospital | Abstract

Journal of Research in Medical and Dental Science
eISSN No. 2347-2367 pISSN No. 2347-2545

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Evaluating the Outcomes of a Two-stage Surgical Restoration of Newborn Cleft Palate at Hamedan Besat Hospital

Author(s): Ghorbanpour Manouchehr, NasiriKhanghah Erfan, Esna Ashari Farzaneh, Heidari Ali

Abstract

Infants born with cleft palate require long-term and group intervention by pediatric surgeons, ENT specialists, orthodontic specialists, and speech therapists. The aim of this study was to evaluate the results of a two-stage surgical repair of newborn cleft palate at Hamedan Besat Hospital during 2006 to 2014. This retrospective cohort study was conducted at Besat Hospital during the years 2006 to 2014. The medical documents of 35 infants diagnosed with cleft palate in large sizes [cleft palate over 13 mm] were examined, who had undergone cleft palate surgery. Data were collected and classified using a checklist, demographic information, incidence of fistula, cleft palate size before the first and 6 months after the second surgery, and, in case of unrecovered cleft palate, one year later. The lesion size was measured by a caliper. Data obtained were analyzed by SPSS software [Version 16] using Mann-Whitney test and t-test. The mean ages of male and female infants were 7 and 7.3 months, respectively, at the first surgical stage [p = 0.331]. The mean palate lesion during surgery was 13.57 mm in the whole subjects, which decreased to 7.57 mm after 6 months of the second surgical stage [p = 0.001]. A twostage operation for the repair of cleft palate at the early stages of childhood is helpful in healing the cleft palate of such children.

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