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

TY - JOUR

T1 - Day Care Surgery for Unilateral Alveolar Bone Grafting of Residual Clefts With Mandibular Symphyseal Bone-A Prospective Questionnaire Study

AU - Saaby, Martin

AU - Nørholt, Sven Erik

AU - Küseler, Annelise

AU - Hartlev, Jens

PY - 2022/2

Y1 - 2022/2

N2 - 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 = 26, female n = 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 =.04). Additionally, the ability to sleep correlated with pain (P =.003) and with nausea (P =.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 satisfaction.

AB - 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 = 26, female n = 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 =.04). Additionally, the ability to sleep correlated with pain (P =.003) and with nausea (P =.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 satisfaction.

KW - alveolar bone grafting

KW - cleft lip and palate

KW - mandibular bone

KW - outpatient surgery

KW - RECOVERY

KW - LIP

KW - RECONSTRUCTION

KW - REHABILITATION

KW - PREOPERATIVE ANXIETY

KW - SECONDARY OSTEOPLASTY

KW - DONOR SITE

U2 - 10.1177/1055665621999489

DO - 10.1177/1055665621999489

M3 - Journal article

C2 - 33719611

SN - 1055-6656

VL - 59

SP - 216

EP - 221

JO - The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

JF - The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

IS - 2

ER -