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Day Care Surgery for Unilateral Alveolar Bone Grafting of Residual Clefts With Mandibular Symphyseal Bone-A Prospective Questionnaire Study

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Objective: To evaluate patients’ experiences of shortened hospitalization in relation to bone grafting of unilateral alveolar clefts
with mandibular symphyseal bone grafts.
Design: Prospective cohort questionnaire study.
Setting: Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Denmark.
Patients: Thirty-nine (male n ¼ 26, female n ¼ 13) patients with unilateral residual clefts after primary reconstruction, mean age
10.4 years.
Interventions: All patients underwent a standardized procedure with closure of the alveolar defect using mandibular symphyseal
bone grafts. Patients were discharged within a day after surgery. Within 24 hours after discharge from surgery, patients and their
parents filled in a 14-item psychometric questionnaire assessing the quality of their recovery. For all questions, a visual analogue
scale (VAS) (0-10) was used.
Main Outcome Measure: Patients’ experience of shortened hospitalization in relation to secondary bone grafting of alveolar defects.
Factors influencing the overall experience were measured using a VAS scale.
Results: A significant correlation between “Information from the hospital” and feeling worried and anxious was found (P ¼ .04).
Additionally, the ability to sleep correlated with pain (P ¼ .003) and with nausea (P ¼ .001).
Conclusions: Although this study included a limited number of patients, the findings suggest that treatment of alveolar residual cleft
with bone grafting from the mandibular symphyseal region in a day care surgery setting is characterized by very high patient
TidsskriftThe Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
Sider (fra-til)216-221
Antal sider6
StatusUdgivet - feb. 2022

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