Diandra-Sabrina Natsir-Kalla1,2, Muhammad Ruslin3, S A Alkaabi1,4, Andi-Sitti-Hajrah Yusuf3, Andi Tajrin3, Tymour Forouzanfar1, Hedi Kuswanto5, Paolo Boffano6, Lun-Jou Lo7. 1. Amsterdam UMC and Academic Centre for Dentistry Amsterdam (ACTA), Vrije Universiteit Amsterdam, Department of Oral and Maxillofacial Surgery/Pathology, Amsterdam Movement Sciences, de Boelelaan 1117, Amsterdam, the Netherlands. 2. Department of Biochemistry, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia. 3. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia. 4. Department of Oral and Maxillofacial Surgery, Fujairah Hospital, Fujairah, Ministry of Health, Emirates Health Service. 5. Department of Statistics, Hasanuddin University, Makassar, Indonesia. 6. Division of Maxillofacial Surgery, "Maggiore della Carità" University Hospital, University of Eastern Piedmont, Novara, Italy. 7. Department of Plastic and Reconstructive Surgery, Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan.
Abstract
Background: Surgical procedures including palatoplasty have a risk for complications. The aim of this study was to investigate the intraoperative and early postoperative blood loss using the buccal fat pad (BFP) during cleft lip and/or cleft palate (CL/P) surgery. Material and Methods: This prospective study included a total of 109 patients with cleft palate (CP) during a three-month period of treatment at Hasanuddin University Dental Hospital (permanent center) and charity trips in rural parts of Eastern Indonesia. All patients were treated with DOZ Furlow technique combined with BFP graft. Before and after surgery, the total amount of intraoperative blood loss was calculated by measuring the weight differences of the gauze swabs that were used to control the surgical bleeding followed by a complete blood count at three days postoperatively. Results: The difference in the amount of blood loss based on age categories in charity groups was found to be significant (P<0.05). Overall, we found that high body weight and operation time significantly contributed to increased blood loss (P<0.05). Conclusions: Weight and operative time can contribute to more blood loss during palatoplasty. Key words:Buccal fat pad, complication, cleft lip, cleft palate, palatoplasty. Copyright:
Background: Surgical procedures including palatoplasty have a risk for complications. The aim of this study was to investigate the intraoperative and early postoperative blood loss using the buccal fat pad (BFP) during cleft lip and/or cleft palate (CL/P) surgery. Material and Methods: This prospective study included a total of 109 patients with cleft palate (CP) during a three-month period of treatment at Hasanuddin University Dental Hospital (permanent center) and charity trips in rural parts of Eastern Indonesia. All patients were treated with DOZ Furlow technique combined with BFP graft. Before and after surgery, the total amount of intraoperative blood loss was calculated by measuring the weight differences of the gauze swabs that were used to control the surgical bleeding followed by a complete blood count at three days postoperatively. Results: The difference in the amount of blood loss based on age categories in charity groups was found to be significant (P<0.05). Overall, we found that high body weight and operation time significantly contributed to increased blood loss (P<0.05). Conclusions: Weight and operative time can contribute to more blood loss during palatoplasty. Key words:Buccal fat pad, complication, cleft lip, cleft palate, palatoplasty. Copyright:
Authors: Wasiu L Adeyemo; Mobolanle O Ogunlewe; Ibironke Desalu; Akinola L Ladeinde; Bolaji O Mofikoya; Michael O Adeyemi; Adegbenga A Adepoju; Olufemi O Hassan Journal: Clin Cosmet Investig Dent Date: 2009-11-30