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Late Bleeding Following Cleft Palate Repair: An Under-Reported Finding?
Jonathan S Wheeler1,2, Megan Sanders1,2
1Auckland Regional Cleft and Craniofacial Service, Departments of Plastic and Reconstructive Surgery and Oral Health, Middlemore Hospital.
The Journal of Craniofacial Surgery
|September 14, 2021
Summary
Late bleeding after cleft palate repair (palatoplasty) is uncommon, occurring in 1.6% of pediatric cases. This study highlights the incidence and management of this rare complication in cleft lip and palate patients.
Area of Science:
- Pediatric Surgery
- Craniofacial Surgery
- Otolaryngology
Background:
- Cleft palate repair (palatoplasty) is a common pediatric surgical procedure.
- Late bleeding post-palatoplasty is a potential complication but infrequently reported in medical literature.
Purpose of the Study:
- To determine the incidence of late bleeding after primary cleft palate repair.
- To describe the clinical course and management of patients experiencing post-palatoplasty bleeding.
Main Methods:
- Retrospective review of a prospectively maintained database.
- Inclusion of patients undergoing primary palatoplasty between January 2009 and March 2020.
- Analysis of patient demographics, cleft types, and bleeding events.
Main Results:
- 366 patients underwent primary palatoplasty.
- 6 patients (1.6%) were re-admitted for late bleeding from the surgical site.
- 5 patients required blood transfusions, and 4 needed return to the operating room.
Conclusions:
- The incidence of late bleeding following primary cleft palate repair in this cohort is 1.6%.
- Prompt recognition and management are crucial for patients experiencing post-surgical bleeding.
- Further research is warranted to better understand and potentially mitigate this complication.
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