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The Impact of the COVID-19 Pandemic on Cleft Care

Madeleine K Bruce1, Miles J Pfaff1, Erin E Anstadt2

  • 1Children's Hospital/ of Pittsburgh of UPMC, Pittsburgh, Pa.

Plastic and Reconstructive Surgery. Global Open
|May 3, 2021
PubMed

Insights

The COVID-19 pandemic significantly delayed cleft lip and nose repairs, impacting surgical care for children with cleft lip and/or palate. Continued vigilance is crucial for this vulnerable population.

Area of Science:

  • Craniofacial Surgery
  • Pediatric Surgery
  • Public Health

Background:

  • The COVID-19 pandemic disrupted healthcare, leading to the suspension of elective surgeries.
  • Assessing the pandemic's impact on cleft lip and/or palate surgical care is essential.

Purpose of the Study:

  • To determine the early effects of the COVID-19 pandemic on surgical care for patients with cleft lip and/or palate.
  • To analyze delays in specific surgical procedures.

Main Methods:

  • Retrospective comparative cohort study.
  • Compared patients undergoing lip adhesion, cleft lip and nose repair, and palatoplasty before and during the pandemic.
  • Analyzed data from 50 prepandemic and 53 pandemic cohort patients.

Main Results:

  • No significant age difference for lip adhesion or palatoplasty between cohorts.
  • Cleft lip and nose repair showed a significant increase in mean age (p=0.03) during the pandemic.
  • Delays occurred in 6 cleft lip and nose repairs (mean 2.6 months) and 7 palatoplasties (mean 3.3 months).

Conclusions:

  • The COVID-19 pandemic led to delays in cleft lip and/or palate surgical repairs.
  • Cleft lip and nose repair was significantly affected by pandemic-related delays.
  • Maintaining consistent care for vulnerable pediatric populations during health crises is vital.
Abstract

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