A 10-Year Nationwide Analysis of Risk Factors of Readmission and the Implications of Same-Day Discharge Following Velopharyngeal Insufficiency Correcting Surgery
CONCLUSIONS: Approximately 90% of VPI-correcting procedures are completed inpatient nationwide. Cardiac and/or neuromuscular disease significantly increased the patients' readmission risk when discharged on the same day of surgery. The inpatient setting should remain the best practice as adequate resources are available to mitigate life-threatening complications.PMID:38490218 | DOI:10.1177/10556656241233248 (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 15, 2024 Category: ENT & OMF Authors: Idean Roohani Eloise Stanton Collean Trotter Dylan G Choi Sarah Alfeerawi Pasha Shakoori Ishani D Premaratne Aydin Hammoudeh Artur Fahradyan Mark M Urata Source Type: research

Feeding Management and Palate Repair Timing in Infants with Cleft Palate with and without Pierre Robin Sequence: A Multisite Study
CONCLUSIONS: These findings can be used to establish clinical directives focused on providing early, multimodal feeding interventions to promote optimal growth and timely palate repair for infants with PRS.PMID:38490219 | DOI:10.1177/10556656241239766 (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 15, 2024 Category: ENT & OMF Authors: Jessica L Williams Kari M Lien Richard Kirschner Gregory Allen Kathy Chapman Cleft Outcomes Research NETwork (CORNET) Consortium Source Type: research

Is There Utility in Preoperative Testing of Hemoglobin Before Primary Cheiloplasty?
CONCLUSIONS: Post-operative complications are rare after primary cheiloplasty in patients with low or normal hemoglobin levels. The results of this study show that a preoperative hemoglobin of <10 g/dL does not predict perioperative complications in patients undergoing primary cheiloplasty.PMID:38490220 | DOI:10.1177/10556656241239510 (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 15, 2024 Category: ENT & OMF Authors: Aryan Shay Megan Gaffey Roger Roe Alexa Robbins Isabella Zaniletti Adam Johnson Larry Hartzell Source Type: research

Can MRI Replace Nasopharyngoscopy in the Evaluation of Velopharyngeal Insufficiency?
CONCLUSIONS: In patients receiving MRI as part of their preoperative VPI evaluation, the addition of nasopharyngoscopy did not result in a difference in surgical selection or resolution of hypernasality. Routine inclusion of nasopharyngoscopy may not be necessary for the evaluation of velopharyngeal anatomy when MRI is available.PMID:38490221 | DOI:10.1177/10556656241239459 (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 15, 2024 Category: ENT & OMF Authors: Jessica L Williams Jamie L Perry Taylor D Snodgrass Davinder J Singh M'hamed Temkit Thomas J Sitzman Source Type: research

Diagnostic Potential of Complementation of MRI to Prenatal Ultrasound for Detecting Orofacial Clefts in High-Risk Fetuses: A Network Meta-Analysis
CONCLUSIONS: MRI is more accurate than ultrasound in detecting cleft palate. Therefore, MRI should be offered if there is a fetus with a possible or ultrasound diagnosis of cleft palate, especially if the evaluation of cleft palate is deemed unsatisfactory after careful evaluation of the images.PMID:38490217 | DOI:10.1177/10556656241231119 (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 15, 2024 Category: ENT & OMF Authors: Jing Zhai Shuyan You Zhonghua Liang Haihua Yu Chengfeng Zhu Lu Han Source Type: research

A 10-Year Nationwide Analysis of Risk Factors of Readmission and the Implications of Same-Day Discharge Following Velopharyngeal Insufficiency Correcting Surgery
CONCLUSIONS: Approximately 90% of VPI-correcting procedures are completed inpatient nationwide. Cardiac and/or neuromuscular disease significantly increased the patients' readmission risk when discharged on the same day of surgery. The inpatient setting should remain the best practice as adequate resources are available to mitigate life-threatening complications.PMID:38490218 | DOI:10.1177/10556656241233248 (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 15, 2024 Category: ENT & OMF Authors: Idean Roohani Eloise Stanton Collean Trotter Dylan G Choi Sarah Alfeerawi Pasha Shakoori Ishani D Premaratne Aydin Hammoudeh Artur Fahradyan Mark M Urata Source Type: research

Feeding Management and Palate Repair Timing in Infants with Cleft Palate with and without Pierre Robin Sequence: A Multisite Study
CONCLUSIONS: These findings can be used to establish clinical directives focused on providing early, multimodal feeding interventions to promote optimal growth and timely palate repair for infants with PRS.PMID:38490219 | DOI:10.1177/10556656241239766 (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 15, 2024 Category: ENT & OMF Authors: Jessica L Williams Kari M Lien Richard Kirschner Gregory Allen Kathy Chapman Cleft Outcomes Research NETwork (CORNET) Consortium Source Type: research

Is There Utility in Preoperative Testing of Hemoglobin Before Primary Cheiloplasty?
CONCLUSIONS: Post-operative complications are rare after primary cheiloplasty in patients with low or normal hemoglobin levels. The results of this study show that a preoperative hemoglobin of <10 g/dL does not predict perioperative complications in patients undergoing primary cheiloplasty.PMID:38490220 | DOI:10.1177/10556656241239510 (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 15, 2024 Category: ENT & OMF Authors: Aryan Shay Megan Gaffey Roger Roe Alexa Robbins Isabella Zaniletti Adam Johnson Larry Hartzell Source Type: research

Can MRI Replace Nasopharyngoscopy in the Evaluation of Velopharyngeal Insufficiency?
CONCLUSIONS: In patients receiving MRI as part of their preoperative VPI evaluation, the addition of nasopharyngoscopy did not result in a difference in surgical selection or resolution of hypernasality. Routine inclusion of nasopharyngoscopy may not be necessary for the evaluation of velopharyngeal anatomy when MRI is available.PMID:38490221 | DOI:10.1177/10556656241239459 (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 15, 2024 Category: ENT & OMF Authors: Jessica L Williams Jamie L Perry Taylor D Snodgrass Davinder J Singh M'hamed Temkit Thomas J Sitzman Source Type: research

Preoperative Velopharyngeal Closure Predicts Hypernasality Outcomes of Secondary Furlow Double-Opposing Z-Plasty
CONCLUSIONS: Preoperative VCP was significantly associated with improved hypernasality ratings postoperatively. A preoperative VCP of ≥55% may be used to help predict success of Furlow palatoplasty treatment. Patients with lower VCP can still benefit from secondary DOZP.PMID:38483817 | DOI:10.1177/10556656241237422 (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 14, 2024 Category: ENT & OMF Authors: Kayla Prezelski Carolyn Kim Jeyna Perez Cortney Vant Slot Alex A Kane James R Seaward Source Type: research

Tranexamic Acid: Safeguarding Children with Craniosynostosis from Bleeding. A Review Article
Cleft Palate Craniofac J. 2024 Mar 14:10556656241239527. doi: 10.1177/10556656241239527. Online ahead of print.ABSTRACTCraniosynostosis is a congenital condition characterized by the premature closure of one or more sutures in the skull after birth, often necessitating urgent surgical intervention. Nevertheless, cranial vault reconstruction surgery can cause rapid and massive blood loss. This procedure requires a blood transfusion, which entails potential hazards. In addition, the hemostatic system in children differs significantly from that in adults, resulting in increased bleeding during surgical procedures. We conducte...
Source: The Cleft Palate-Craniofacial Journal - March 14, 2024 Category: ENT & OMF Authors: Khildan Miftahul Firdaus Lucky Andriyanto Adil Jihad Muhammad Tatang Bisri Source Type: research

A Longitudinal Analysis of Pre- and Post-Operative Dysmorphology in Metopic Craniosynostosis
CONCLUSIONS: MSS quantifies overcorrection and normalization of head shape, as patients with negative values were less "metopic" than normal postoperatively and approached 0 at 2-year follow-up. CMD worsened postoperatively due to postoperative bony changes associated with surgical displacements following FOA. All patients had similar postoperative metopic dysmorphology, with no significant association with preoperative severity. More severe patients had worse longitudinal dysmorphology, reinforcing that regression to the metopic shape is a postoperative risk which increases with preoperative severity.PMID:38483822 | DOI:1...
Source: The Cleft Palate-Craniofacial Journal - March 14, 2024 Category: ENT & OMF Authors: Justin W Beiriger Wenzheng Tao Zhazira Irgebay John Smetona Lucas Dvoracek Nicol ás M Kass Angel Dixon Casey Zhang Meeti Mehta Ross Whitaker Jesse A Goldstein Source Type: research

Preoperative Velopharyngeal Closure Predicts Hypernasality Outcomes of Secondary Furlow Double-Opposing Z-Plasty
CONCLUSIONS: Preoperative VCP was significantly associated with improved hypernasality ratings postoperatively. A preoperative VCP of ≥55% may be used to help predict success of Furlow palatoplasty treatment. Patients with lower VCP can still benefit from secondary DOZP.PMID:38483817 | DOI:10.1177/10556656241237422 (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 14, 2024 Category: ENT & OMF Authors: Kayla Prezelski Carolyn Kim Jeyna Perez Cortney Vant Slot Alex A Kane James R Seaward Source Type: research

Tranexamic Acid: Safeguarding Children with Craniosynostosis from Bleeding. A Review Article
Cleft Palate Craniofac J. 2024 Mar 14:10556656241239527. doi: 10.1177/10556656241239527. Online ahead of print.ABSTRACTCraniosynostosis is a congenital condition characterized by the premature closure of one or more sutures in the skull after birth, often necessitating urgent surgical intervention. Nevertheless, cranial vault reconstruction surgery can cause rapid and massive blood loss. This procedure requires a blood transfusion, which entails potential hazards. In addition, the hemostatic system in children differs significantly from that in adults, resulting in increased bleeding during surgical procedures. We conducte...
Source: The Cleft Palate-Craniofacial Journal - March 14, 2024 Category: ENT & OMF Authors: Khildan Miftahul Firdaus Lucky Andriyanto Adil Jihad Muhammad Tatang Bisri Source Type: research

A Longitudinal Analysis of Pre- and Post-Operative Dysmorphology in Metopic Craniosynostosis
CONCLUSIONS: MSS quantifies overcorrection and normalization of head shape, as patients with negative values were less "metopic" than normal postoperatively and approached 0 at 2-year follow-up. CMD worsened postoperatively due to postoperative bony changes associated with surgical displacements following FOA. All patients had similar postoperative metopic dysmorphology, with no significant association with preoperative severity. More severe patients had worse longitudinal dysmorphology, reinforcing that regression to the metopic shape is a postoperative risk which increases with preoperative severity.PMID:38483822 | DOI:1...
Source: The Cleft Palate-Craniofacial Journal - March 14, 2024 Category: ENT & OMF Authors: Justin W Beiriger Wenzheng Tao Zhazira Irgebay John Smetona Lucas Dvoracek Nicol ás M Kass Angel Dixon Casey Zhang Meeti Mehta Ross Whitaker Jesse A Goldstein Source Type: research