11,271 results match your criteria patients dehiscence

Short term complications in mesh augmented vaginal repair of pelvic organ prolapse are not higher when compared with native tissue repair.

Int Urogynecol J 2021 Jul 30. Epub 2021 Jul 30.

Department of Obstetrics and Gynecology, Division of Urogynecology and Pelvic Reconstructive Surgery, The Ottawa Hospital, Ottawa, ON, Canada.

Introduction And Hypothesis: Accumulating evidence regarding the negative long-term consequences of transvaginal mesh-based procedures for pelvic organ prolapse has led to a sharp decline in mesh-based procedures. We aimed to evaluate the short-term complications of mesh-based procedures for carefully selected patients with pelvic organ prolapse after Food and Drug Administration warnings.

Methods: A retrospective database review of the ACS NSQIP database was completed to examine 30-day complications including re-operation, prolonged length of stay, blood transfusion, surgical site infection, urinary tract infection, readmission and wound dehiscence in mesh-augmented and native tissue-based transvaginal procedures for pelvic organ prolapse. Read More

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Outcomes of the keystone perforator island flap for oncologic reconstruction of the back.

J Surg Oncol 2021 Jul 29. Epub 2021 Jul 29.

Division of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, Minnesota, USA.

Background: Coverage of posterior trunk defects after tumor resection can be challenging due to the intricate anatomy. The keystone perforator island flap (KPIF) provides coverage of the defect without the need for distant flap coverage or microsurgery, matches the recipient's skin color and contour, and requires a short operative time.

Methods: A retrospective review of all oncological back reconstructions with KPIF was performed at our institution. Read More

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[Nutrition in the prevention and healing of chronic wounds. Importance in improving the diabetic foot].

Nutr Hosp 2021 Jul 29. Epub 2021 Jul 29.

Departamento de Nutrición. Facultad de Farmacia. Universidad Complutense de Madrid.

Nutrition plays an essential role in chronic wound healing as extra nutrients are needed for tissue repair and to restore losses through wound exudate. Insufficient intake of energy, protein, antioxidants (vitamin C, A, and zinc) and vitamin D are common in patients with chronic wounds and have been linked to delayed wound healing and dehiscence. Other risk factors such as obesity, diabetes, advanced age, corticosteroid use, and dehydration can also reduce or impede the healing process, and nutritional screening is important to identify patients with malnutrition. Read More

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Blast Wound Dehiscence During Descemet Membrane Endothelial Keratoplasty Rebubbling in a Previous Penetrating Keratoplasty: A Case Report.

Cornea 2021 Jul 28. Epub 2021 Jul 28.

The Royal Liverpool University Hospital, Liverpool, United Kingdom; Department of Clinical Science and Translational Medicine, University of Rome Tor Vergata, Rome, Italy; Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy; Department of Neurological and Vision Sciences, Eye Clinic, University of Brescia, Brescia, Italy; Department of Eye and Vision Science, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, United Kingdom; and Instituto Universitario Fernandez-Vega, Universidad de Oviedo and Fundacion de Investigacion Oftalmologica, Oviedo, Spain.

Purpose: The purpose of this study was to describe a rare complication of Descemet membrane endothelial keratoplasty (DMEK) rebubbling.

Methods: An 86-year-old woman with bilateral penetrating keratoplasty (PK) performed 20 years previously for Fuchs endothelial dystrophy underwent DMEK surgery for endothelial corneal decompensation in the left eye. Surgery was complicated in the postoperative period by repeated DMEK graft detachments requiring rebubbling. Read More

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Closing the gap: evidence-based surgical treatment of rectus diastasis associated with abdominal wall hernias.

Hernia 2021 Jul 28. Epub 2021 Jul 28.

Department of Plastic and Reconstructive Surgery, Ohio State University Wexner Medical Center, 915 Olentangy River Road, Suite 2100, Columbus, OH, 43212, USA.

Purpose: Rectus diastasis (RD) associated with abdominal hernias present a surgical challenge associated with a paucity in treatment guidelines. The objective of this systematic review is to review surgical techniques and assess complication and recurrence rates of RD in patients with concurrent abdominal hernias.

Methods: PubMed and EMBASE databases were systematically searched, and data extraction was performed on articles which met the inclusion criteria. Read More

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Dense Polytetrafluoroethylene Membrane versus Titanium Mesh in Vertical Ridge Augmentation: Clinical and Histological Results of a Split-mouth Prospective Study.

J Contemp Dent Pract 2021 May 1;22(5):465-472. Epub 2021 May 1.

Department of Periodontology, Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy.

Aim And Objective: The aim of the present split-mouth prospective study was to evaluate clinically and histologically the bone regeneration obtained following preprosthetic vertical bone augmentation performed with titanium-reinforced dense polytetrafluoroethylene membrane (d-PM) compared to titanium mesh (TM).

Materials And Methods: Healthy adult patients presenting with bilateral partial edentulism in the posterior mandible requiring vertical ridge augmentation for implant placement purposes were consecutively included. One side of the mandible was randomly assigned to the use of d-PM, the other to TM. Read More

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High Definition Lipoplasty in Male Patients: A Systematic Review of Surgical Techniques and Outcomes.

Aesthet Surg J 2021 Jul 26. Epub 2021 Jul 26.

Division of Plastic and Reconstructive Surgery, Strong Memorial Hospital, University of Rochester Medical Center, Rochester, NY.

Background: Lipoplasty has undergone a series of refinements throughout history. It is now possible to apply superficial suction to enhance the outline of a muscle in order to improve the results of aesthetic lipoplasty.

Objectives: Herein, we aimed to summarize the available evidence on the techniques and surgical outcomes of high definition lipoplasty (HDL) in male patients. Read More

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The Effect of Degree of Temporal Bone Pneumatization on Sound Transmission of Pulsatile Tinnitus Induced by Sigmoid Sinus Diverticulum and/or Dehiscence: A Clinical and Experimental Study.

J Int Adv Otol 2021 Jul;17(4):319-324

Department of Radiology, Capital Medical University, Beijing Tongren Hospital, Beijing, China.

Background: Although many studies have suggested that air cells may play an important role in sigmoid sinus diverticulum and/or dehiscence (SSDD)-induced pulsatile tinnitus (PT), the exact effects remain unclear. This study aims to quantitatively investigate the effect of different degrees of pneumatization of temporal bone on sound transmission from the sigmoid sinus to the tympanic cavity.

Methods: In the clinical study, 25 patients were enrolled to measure the sound intensity and frequency of SSDD-induced PT. Read More

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Extension toward the Trapezius in a Transversely Oriented Latissimus Dorsi Flap for Breast Reconstruction.

Plast Reconstr Surg Glob Open 2021 Jul 21;9(7):e3695. Epub 2021 Jul 21.

Department of Breast Surgery, Kyoto City Hospital, Kyoto, Japan.

A transverse paddle latissimus dorsi (LD) flap has the advantage that if the skin paddle is placed in the transverse bra line, the donor site scar is well hidden by underwear. With this transfer, medial back tissues are usually moved to the medial area of the reconstructed breast following 180 degree rotation. Because these tissues are thinner than the lateral thoracic area, the medial part of the reconstructed breast sometimes becomes flatter than expected. Read More

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Partial primary closure in sacrococcygeal pilonidal sinus: Modified with suture technique.

Abdullah Yildiz

Asian J Surg 2021 Jul 21. Epub 2021 Jul 21.

Department of General Surgery, University of Health Sciences Umraniye Training and Research Hospital, İstanbul, Turkey. Electronic address:

Aim And Background: The primary purpose of pilonidal sinus treatment is to minimize complications, accelerate wound healing, and minimize recurrence. However, invasive and minimally invasive methods are being developed to reduce these problems. Early and late postoperative complications remain significant problems in pilonidal surgery. Read More

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Stapled VTEP (sVTEP), diastasis and the "swollen abdomen".

Surg Endosc 2021 Jul 23. Epub 2021 Jul 23.

Institut de La Hernie, 15 Rue du Cirque, 75008, Paris, France.

Background: In the VTEP series, some patients declared that their abdomen was "somewhat swollen", and the authors suggested that this might be related to disruption of the posterior sheath due to the crossing. Following this observation, we decided to evaluate the systematic repair of the posterior sheath.

Methods: In 50 consecutive patients operated for ventral hernias, the VTEP procedure was modified, using the linear stapler to perform simultaneous division and closure of the posterior sheath. Read More

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Outcome of abdominal binder in midline abdominal wound Dehiscence in terms of pain, psychological satisfaction and need for reclosure.

Pak J Med Sci 2021 Jul-Aug;37(4):1118-1121

Dr. Ahmed Raza Noumani, MBBS, MS General Surgery Senior Registrar, EAST Surgical Ward, Mayo Hospital, Lahore, Pakistan.

Objective: To assess the role of abdominal binder in patients with midline wound dehiscence after elective or emergency laparotomy in terms of pain, psychological satisfaction and need for reclosure.

Methods: It was a comparative study done at EAST Surgical Ward of Mayo Hospital, Lahore from 1 January 2018 to 31 December 2019. One hundred and sixty-two (162) patients were included in this study with post-operative midline abdominal wound dehiscence and after informed consent by consecutive non probability sampling technique. Read More

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September 2020

Prophylactic subcutaneous retention sutures in the prevention of superficial wound separation of midline laparotomy.

Int J Gynecol Cancer 2021 Jul 21. Epub 2021 Jul 21.

Department of Gynecology and Obstetrics, Antalya Training and Research Hospital, Antalya, Turkey.

Objectives: This prospective study aimed to determine the effectiveness of prophylactic subcutaneous retention sutures in the prevention of superficial wound separation in women with a confirmed or suspected cancer who had gynecological surgery by midline laparotomy.

Methods: This was a non-randomized, controlled intervention study including patients who underwent cancer surgery between May 2018 and August 2019. Patients who underwent midline laparotomy with confirmed or suspected cancer were included and patients who had an early post-operative complication or who underwent surgery again before the removal of stitches were excluded. Read More

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Is It Possible to Save the Deep Brain Stimulation Hardware when Presenting with Wound Dehiscence or Hardware Infection?

Stereotact Funct Neurosurg 2021 Jul 21:1-10. Epub 2021 Jul 21.

Department of Neurosurgery, Rutgers-Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.

Introduction: Deep brain stimulation (DBS) hardware complications have been traditionally managed by removal of the entire system. Explantation of the system results in prolonged interruption to the patient's care and potential challenges when considering reimplantation of the cranial leads. The purpose of this study was to understand whether complete explantation can be avoided for patients initially presenting with wound dehiscence and/or infection of hardware. Read More

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Post-bariatric body contouring surgery: analysis of complications in 180 consecutive patients.

Rev Col Bras Cir 2021 19;48:e20202638. Epub 2021 Jul 19.

- Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Divisão de Cirurgia Plástica - São Paulo - SP - Brasil.

Introduction: bariatric surgery is the main treatment for cases of severe obesity and body contour surgery to correct body dysmorphia resulting from weight loss. However, these procedures are associated with a significant number of postoperative complications.

Objective: this study aims to analyze complications in post-bariatric patients undergoing body contour surgeries and correlating them with the age and BMI of these patients. Read More

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Long-term clinical outcome of dental implants: A retrospective clinical study with a minimum follow-up between 9.5 and 17.7 years.

J Biol Regul Homeost Agents 2021 Mar-Apr;35(2 Suppl. 1):37-51

University of Milano, Department of Biomedical, Surgical and Dental Sciences, Milan, Italy.

The aim of this retrospective case series was to evaluate the clinical and radiographic outcomes of the patients that underwent implant surgery in all indication classes, with a follow-up of at least 9 years. 121 healthy patients in need for oral rehabilitation with dental implants were included in this study. 196 implants (160 conical, 73 cylindric design implants) were inserted. Read More

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Plastic surgery wound closure following resection of spinal metastases.

Clin Neurol Neurosurg 2021 Jul 9;207:106800. Epub 2021 Jul 9.

Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA; Department of Neurosurgery, Zucker School of Medicine at Hofstra, Long Island Jewish Medical Center and North Shore University Hospital, Northwell Health, Manhasset, NY 11030, USA. Electronic address:

Objective: Surgical site infection and dehiscence are devastating complications of surgery for spinal metastases. Wound closure involving plastic surgeons has been proposed as a strategy to lower post-operative complications. Here we investigated whether plastic surgery closure is associated with lower rates of wound complications, wound infection, and wound reoperation compared to simple closure by spine surgeons. Read More

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Angioid Streaks in Pseudoxanthoma Elasticum.

Cureus 2021 Jun 17;13(6):e15720. Epub 2021 Jun 17.

College of Medicine, Umm Al-Qura University, Mecca, SAU.

Pseudoxanthoma elasticum, or Gronblad-Strandberg syndrome, is an inherited disorder that involves multiple organ systems. The characteristic degeneration and calcification of the elastic fibers caused by this disease were first observed by Ferdinand Jean Darrier in 1896. We report a case of a 27-year-old female who was diagnosed with pseudoxanthoma elasticum based on a skin biopsy prior to her presentation to our ophthalmology outpatient clinic. Read More

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Replacement of the lower eyelid after tumor removal

Orv Hetil 2021 07 18;162(29):1180-1184. Epub 2021 Jul 18.

1 Debreceni Egyetem, Kenézy Gyula Egyetemi Kórház, Szemészeti Osztály, Debrecen, Bartók Béla u. 2-26., 4031.

Összefoglaló. Bevezetés: A tumoreltávolítás miatt végzett teljes alsószemhéj-pótlás összetett feladat lehet. A rekonstrukció célja a kielégítő funkcionális és kozmetikai eredmény elérése. Read More

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The impact of closed incisional negative pressure therapy on anterior lateral thigh flap donor site healing and scarring: A retrospective case-control study.

J Plast Reconstr Aesthet Surg 2021 Jun 13. Epub 2021 Jun 13.

Department of Hand, Plastic and Reconstructive Surgery, Burn Center, BG Trauma Center Ludwigshafen, Ludwig-Guttmann-Strasse 13, 67071 Ludwigshafen, Germany; Hand and Plastic Surgery, University of Heidelberg, Heidelberg, Germany. Electronic address:

Background: The objective of this study was to investigate whether closed incisional negative pressure therapy (cINPT) is suitable to improve anterior lateral thigh (ALT) flap donor site healing and scarring.

Methods: We identified 271 ALT free flaps of widths between 7 and 9 cm and primary donor site closure performed between January 2012 to December 2019. Patients were divided into cases of cINPT versus controls without cINPT as part of this retrospective case-control review. Read More

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Early postoperative pain as a marker of anastomotic leakage in colorectal cancer surgery.

Int J Colorectal Dis 2021 Jul 17. Epub 2021 Jul 17.

Department of Surgical and Perioperative Sciences, Surgery, Umeå University, Umea, Sweden.

Purpose: Even though anastomotic leakage after colorectal surgery is a major clinical problem in need of a timely diagnosis, early indicators of leakage have been insufficiently studied. We therefore conducted a population-based observational study to determine whether the patient's early postoperative pain is an independent marker of anastomotic leakage.

Methods: By combining the Swedish Colorectal Cancer Registry and the Swedish Perioperative Registry, we retrieved prospectively collected data on 3084 patients who underwent anastomotic colorectal surgery for cancer in 2014-2017. Read More

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Superior Semicircular Canal Dehiscence Syndrome Following Head Trauma: A Multi-institutional Review.

Laryngoscope 2021 Jul 17. Epub 2021 Jul 17.

Division of Otolaryngology-Head and Neck Surgery, University of Utah School of Medicine, Salt Lake City, Utah, U.S.A.

Objective: To evaluate patients who become symptomatic from superior semicircular canal dehiscence (SSCD) following head trauma.

Study Design: Case series assessing patients presenting with SSCD after a trauma.

Methods: A case series was completed assessing patients presenting with SSCD after trauma. Read More

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Outcomes in volume replacement and volume displacement techniques in oncoplastic breast conserving surgery: A systematic review.

J Plast Reconstr Aesthet Surg 2021 Jun 20. Epub 2021 Jun 20.

Department of Surgery, Division of Surgery, McMaster University, Hamilton, ON, Canada; Department of Health Research Methods, Evidence and Impact (HEI), McMaster University, Hamilton, ON, Canada. Electronic address:

Introduction: Volume Replacement (VR-OBCS) and Volume Displacement Oncoplastic Breast Conserving Surgery (VD-OBCS) are commonly used in the management of breast cancer. Many studies summarize the individual postoperative outcomes of these two procedures; however, there is a lack of research that compares outcomes of these approaches. This review summarizes the available VR and VD-OBCS literature in terms of oncological, cosmetic, and clinical outcomes. Read More

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[Airway complications after lung transplantation].

Khirurgiia (Mosk) 2021 (7):77-83

Sechenov First Moscow State Medical University, Moscow, Russia.

Lung transplantations have been regularly performed in the Russian Federation since 2010. Therefore, the number of lung transplant recipients, as well as the number of patients with airway complications following lung transplantation has been increasing. Treatment of these patients takes place not only in transplantation centers, but also in other hospitals. Read More

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Perioperative anidulafungin combined with triazole prophylaxis for the prevention of early invasive candidiasis in lung transplant recipients.

Transpl Infect Dis 2021 Jul 16. Epub 2021 Jul 16.

Division of Pulmonary Sciences and Critical Care, Department of Medicine, University of Colorado, Denver, Colorado, USA.

Background: Invasive candidiasis (IC) is a substantial cause of morbidity and mortality among lung transplant recipients (LTRs). Postoperative factors include prolonged hospital stay, central lines, delayed chest closure, and dehiscence increase IC risk. Correspondingly, current guidelines propose targeted IC coverage early posttransplant with fluconazole or an echinocandin. Read More

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Prophylactic incisional negative pressure wound therapy for gynaecologic malignancies.

Int Wound J 2021 Jul 16. Epub 2021 Jul 16.

Department of Gynecology, Hospital Universitari Bellvitge, Barcelona, Spain.

Wound complications are an important cause of postoperative morbidity among patients with gynaecologic malignancies. We evaluated whether the placement of closed-incisional negative pressure therapy (ciNPT) at the time of laparotomy for gynaecologic cancer surgery reduced wound complication rates. A retrospective cohort study with primary wound closure performed by a gynaecologic oncologist was carried out. Read More

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Iatrogenic Third Window After Retrosigmoid Approach to a Vestibular Schwannoma Managed with Cochlear Implantation.

Otol Neurotol 2021 Jul 9. Epub 2021 Jul 9.

Department of Otolaryngology-Head & Neck Surgery, Mayo Clinic, Phoenix, Arizona Department of Otolaryngology-Head & Neck Surgery, NYU School of Medicine, New York, New York.

Objective: To present a case of an iatrogenic inner ear third window after vestibular schwannoma microsurgery.

Patients: A 42-year-old male presented 9-months after left-sided retrosigmoid approach for an intracanalicular vestibular schwannoma with hearing-preservation attempt performed elsewhere. Immediately postoperatively, he developed the following disabling and persistent symptoms on the ipsilateral side: autophony, pulsatile tinnitus, high-pitched ringing tinnitus, and hearing his footsteps. Read More

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Surgical Lip Remodeling Following Permanent Filler Injection: A Scoping Review.

J Craniofac Surg 2021 Jul 13. Epub 2021 Jul 13.

Multidisciplinary Department of Medical-Surgical and Dental Specialties, Oral and Maxillofacial Surgery Unit Medical Oncology, Precision Medicine Department, University of Campania "Luigi Vanvitelli" Naples Dermatology Department, University of Insubria, Varese Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, University of Campania "Luigi Vanvitelli" Department of Neurosciences, Reproductive and Odontostomatological Sciences, Maxillofacial Surgery Unit, University of Naples "Federico II" Naples, Italy.

Abstract: Over the years, several techniques have been introduced to obtain permanent lip enhancement, such as the use of silicone lip implants or the off-label use of permanent fillers. Although some reports indicate that permanent lip filler is safe, many others describe early- and late-onset complications. The main issue with permanent lip fillers is the lack of a standard technique to correct undesirable results. Read More

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Two-Layer Compared With One-Layer Vaginal Cuff Closure at the Time of Total Laparoscopic Hysterectomy to Reduce Complications.

Obstet Gynecol 2021 Jul;138(1):59-65

Obstetrics, Gynecology and Reproductive Sciences, Magee-Womens Hospital of UPMC, Pittsburgh, Pennsylvania; Obstetrics and Gynecology, Mercy Medical Center, Baltimore, Maryland; IVF and Minimally Invasive Gynecological Surgery, Moulana Hospital, Perinthalmanna, India; the Uniformed Services University, Bethesda, Maryland; and the Clinical and Translational Science Institute, Office of Clinical Research, University of Pittsburgh, Pittsburgh, Pennsylvania.

Objective: To explore whether two-layer laparoscopic vaginal cuff closure at the time of laparoscopic hysterectomy is associated with a lower rate of postoperative complications compared with a standard one-layer cuff closure.

Methods: A retrospective cohort study of total laparoscopic hysterectomies performed by fellowship-trained minimally invasive gynecologic surgeons between 2011 and 2017 was performed. Surgeons sutured the vaginal cuff laparoscopically, either in a two- or one-layer closure. Read More

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Greater Palatal Cleft Width Predicts an Increased Risk for Unfavorable Outcomes in Cleft Palate Repair.

Cleft Palate Craniofac J 2021 Jul 14:10556656211029537. Epub 2021 Jul 14.

Department of Surgical Sciences, Plastic Surgery, Uppsala University, Uppsala, Sweden.

Objective: To investigate the impact of cleft width and cleft type on the need for secondary surgery and velopharyngeal competence from a longitudinal perspective.

Design: Retrospective, longitudinal study.

Setting: A single multidisciplinary craniofacial team at a university hospital. Read More

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