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Influence of anesthetics on pharyngeal flap surgery: a 23-year study

Schwerdtfeger, C.M.M.A ; Almeida, A.M ; Trindade, I.E.K ; Trindade, A.S

International journal of oral and maxillofacial surgery, 2009-03, Vol.38 (3), p.224-227 [Periódico revisado por pares]

Kidlington: Elsevier Ltd

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Título:
Influence of anesthetics on pharyngeal flap surgery: a 23-year study
Autor: Schwerdtfeger, C.M.M.A ; Almeida, A.M ; Trindade, I.E.K ; Trindade, A.S
Assuntos: Adolescent ; Analgesics, Opioid - adverse effects ; Anesthesia, Inhalation - adverse effects ; Anesthesia, Inhalation - methods ; Anesthesia, Intravenous - adverse effects ; Anesthesia, Intravenous - methods ; anesthetics ; Anesthetics - adverse effects ; Biological and medical sciences ; Child ; Cross-Sectional Studies ; early postoperative complications ; Female ; Humans ; Male ; Medical sciences ; Otorhinolaryngology. Stomatology ; Palate - surgery ; pharyngeal flap ; pharyngoplasty ; Pharynx - surgery ; Postoperative Complications - chemically induced ; Postoperative Complications - classification ; Retrospective Studies ; Surgery ; Surgical Flaps ; Velopharyngeal Insufficiency - surgery ; Young Adult
É parte de: International journal of oral and maxillofacial surgery, 2009-03, Vol.38 (3), p.224-227
Descrição: Abstract This study assessed the influence of anesthetics on early complications after pharyngeal flap surgery. A 23-year retrospective chart review was carried out of all patients at the authors’ institution who underwent superiorly based pharyngeal flap surgery. Variables analyzed were gender, age at the time of surgery, cleft type, anesthesia procedure used and complications in the early postoperative period. 2299 patients (50% male; 50% female) who underwent pharyngeal flap surgery between 1980 and 2003 were reviewed. The highest number of surgeries was performed in patients aged 11–20 years. There were 1042 patients with at least one type of complication. Of these, 39 required reoperation to control complications such as bleeding and airway obstruction. There were no records of death. Vomiting and pain were the most frequent postoperative complications (16% and 14% of patients, respectively). Lower complication rates were observed when anesthesia protocols included sevoflurane, propofol and opioids.
Editor: Kidlington: Elsevier Ltd
Idioma: Inglês

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Influence of anesthetics on pharyngeal flap surgery: a 23-year study

Schwerdtfeger, C.M.M.A ; Almeida, A.M ; Trindade, I.E.K ; Trindade, A.S

Kidlington: Elsevier Ltd

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