A Comparative Study to Evaluate a Simple Method for the Management of Postoperative Bleeding Following Palatoplasty

Bleeding, is one of the most common postoperative complications after palatoplasty in patients with cleft palate. The purpose of this article is to present our experience using a Foley catheter balloon for perioperative palatoplasty bleeding management. A retrospective data analysis was performed fo...

Full description

Bibliographic Details
Main Authors: Percy Rossell-Perry, William J Schneider, Arquímedes M. Gavino-Gutierrez
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2013-05-01
Series:Archives of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2013.40.3.263
_version_ 1798006440436170752
author Percy Rossell-Perry
William J Schneider
Arquímedes M. Gavino-Gutierrez
author_facet Percy Rossell-Perry
William J Schneider
Arquímedes M. Gavino-Gutierrez
author_sort Percy Rossell-Perry
collection DOAJ
description Bleeding, is one of the most common postoperative complications after palatoplasty in patients with cleft palate. The purpose of this article is to present our experience using a Foley catheter balloon for perioperative palatoplasty bleeding management. A retrospective data analysis was performed for all cases of palatoplasty performed by the author from 1999 to 2012 that experienced postoperative hemorrhage. These patients were managed by utilizing posterior nasal compression with a Foley catheter balloon for the period 2006 to 2012. We have compared two methods (we use before 2006 the reoperative method) with regards to the later development of palatal fistulae and cases with reoperative hemostasis. The study found no statistically significant differences between the conventional and proposed method in relation to the development of palatal fistulae (P=0.7). These findings suggest that nasal packing using a Foley balloon is a safe and effective method for postoperative bleeding control after palatoplasty in patients with cleft palate.
first_indexed 2024-04-11T12:54:47Z
format Article
id doaj.art-2b11161ef0374c8eaee06f932ce5c91a
institution Directory Open Access Journal
issn 2234-6163
2234-6171
language English
last_indexed 2024-04-11T12:54:47Z
publishDate 2013-05-01
publisher Thieme Medical Publishers, Inc.
record_format Article
series Archives of Plastic Surgery
spelling doaj.art-2b11161ef0374c8eaee06f932ce5c91a2022-12-22T04:23:05ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712013-05-01400326326610.5999/aps.2013.40.3.263A Comparative Study to Evaluate a Simple Method for the Management of Postoperative Bleeding Following PalatoplastyPercy Rossell-Perry0William J Schneider1Arquímedes M. Gavino-Gutierrez2Outreach Surgical Center, Program Lima Peru, ReSurge International, Lima, PeruFort Sanders Regional Medical Center, Knoxville, TN, USAA.B. PRISMA, Lima, PeruBleeding, is one of the most common postoperative complications after palatoplasty in patients with cleft palate. The purpose of this article is to present our experience using a Foley catheter balloon for perioperative palatoplasty bleeding management. A retrospective data analysis was performed for all cases of palatoplasty performed by the author from 1999 to 2012 that experienced postoperative hemorrhage. These patients were managed by utilizing posterior nasal compression with a Foley catheter balloon for the period 2006 to 2012. We have compared two methods (we use before 2006 the reoperative method) with regards to the later development of palatal fistulae and cases with reoperative hemostasis. The study found no statistically significant differences between the conventional and proposed method in relation to the development of palatal fistulae (P=0.7). These findings suggest that nasal packing using a Foley balloon is a safe and effective method for postoperative bleeding control after palatoplasty in patients with cleft palate.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2013.40.3.263cleft palatehemorrhagefoley catheterization
spellingShingle Percy Rossell-Perry
William J Schneider
Arquímedes M. Gavino-Gutierrez
A Comparative Study to Evaluate a Simple Method for the Management of Postoperative Bleeding Following Palatoplasty
Archives of Plastic Surgery
cleft palate
hemorrhage
foley catheterization
title A Comparative Study to Evaluate a Simple Method for the Management of Postoperative Bleeding Following Palatoplasty
title_full A Comparative Study to Evaluate a Simple Method for the Management of Postoperative Bleeding Following Palatoplasty
title_fullStr A Comparative Study to Evaluate a Simple Method for the Management of Postoperative Bleeding Following Palatoplasty
title_full_unstemmed A Comparative Study to Evaluate a Simple Method for the Management of Postoperative Bleeding Following Palatoplasty
title_short A Comparative Study to Evaluate a Simple Method for the Management of Postoperative Bleeding Following Palatoplasty
title_sort comparative study to evaluate a simple method for the management of postoperative bleeding following palatoplasty
topic cleft palate
hemorrhage
foley catheterization
url http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2013.40.3.263
work_keys_str_mv AT percyrossellperry acomparativestudytoevaluateasimplemethodforthemanagementofpostoperativebleedingfollowingpalatoplasty
AT williamjschneider acomparativestudytoevaluateasimplemethodforthemanagementofpostoperativebleedingfollowingpalatoplasty
AT arquimedesmgavinogutierrez acomparativestudytoevaluateasimplemethodforthemanagementofpostoperativebleedingfollowingpalatoplasty
AT percyrossellperry comparativestudytoevaluateasimplemethodforthemanagementofpostoperativebleedingfollowingpalatoplasty
AT williamjschneider comparativestudytoevaluateasimplemethodforthemanagementofpostoperativebleedingfollowingpalatoplasty
AT arquimedesmgavinogutierrez comparativestudytoevaluateasimplemethodforthemanagementofpostoperativebleedingfollowingpalatoplasty