A Summary of the Existing Data on Cleft Surgical Outcomes: What Do We Not Know?

Summary:. Globally, cleft surgical protocols have nuanced differences between centers, yet the goals of cleft lip and palate (CLP) repair are similar. These protocols all aim to achieve optimal aesthetic appearance and speech outcomes while limiting significant complications such as velopharyngeal i...

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Main Authors: Priyanka Naidu, MBChB, MS, Alexander T. Plonkowski, MBBS, MRes, Caroline A. Yao, MD, MS, William P. Magee, III, MD, DDS
Format: Article
Language:English
Published: Wolters Kluwer 2025-04-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006660
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author Priyanka Naidu, MBChB, MS
Alexander T. Plonkowski, MBBS, MRes
Caroline A. Yao, MD, MS
William P. Magee, III, MD, DDS
author_facet Priyanka Naidu, MBChB, MS
Alexander T. Plonkowski, MBBS, MRes
Caroline A. Yao, MD, MS
William P. Magee, III, MD, DDS
author_sort Priyanka Naidu, MBChB, MS
collection DOAJ
description Summary:. Globally, cleft surgical protocols have nuanced differences between centers, yet the goals of cleft lip and palate (CLP) repair are similar. These protocols all aim to achieve optimal aesthetic appearance and speech outcomes while limiting significant complications such as velopharyngeal insufficiency and midface hypoplasia. Variability in complication rates following primary CLP repair has been well documented within the literature. A series of systematic reviews investigate the impact of factors on surgical outcomes, all demonstrating an inability to comment on the ideal technique and timing to optimize outcomes. This article presents a summary of the current state of the literature on surgical outcomes following CLP repair. Studies were limited by small samples sizes; standardized measurement tools; study design; and lack of diversity in cleft phenotype, severity, and patient population. These limitations highlight the need for further research with more representative populations globally, standardized measurement tools, and a global consortium of cleft surgeons to make recommendations based on improved data. As the need for training in cleft surgery expands across the globe, evidence-based algorithms are essential to optimize outcomes and limit costly complications.
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publishDate 2025-04-01
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series Plastic and Reconstructive Surgery, Global Open
spelling doaj-art-ef97eccde5b841cfb254693a2dbec0e02025-08-20T02:19:37ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-04-01134e666010.1097/GOX.0000000000006660202504000-00013A Summary of the Existing Data on Cleft Surgical Outcomes: What Do We Not Know?Priyanka Naidu, MBChB, MS0Alexander T. Plonkowski, MBBS, MRes1Caroline A. Yao, MD, MS2William P. Magee, III, MD, DDS3From the * Operation Smile Inc, Virginia Beach, VAFrom the * Operation Smile Inc, Virginia Beach, VAFrom the * Operation Smile Inc, Virginia Beach, VAFrom the * Operation Smile Inc, Virginia Beach, VASummary:. Globally, cleft surgical protocols have nuanced differences between centers, yet the goals of cleft lip and palate (CLP) repair are similar. These protocols all aim to achieve optimal aesthetic appearance and speech outcomes while limiting significant complications such as velopharyngeal insufficiency and midface hypoplasia. Variability in complication rates following primary CLP repair has been well documented within the literature. A series of systematic reviews investigate the impact of factors on surgical outcomes, all demonstrating an inability to comment on the ideal technique and timing to optimize outcomes. This article presents a summary of the current state of the literature on surgical outcomes following CLP repair. Studies were limited by small samples sizes; standardized measurement tools; study design; and lack of diversity in cleft phenotype, severity, and patient population. These limitations highlight the need for further research with more representative populations globally, standardized measurement tools, and a global consortium of cleft surgeons to make recommendations based on improved data. As the need for training in cleft surgery expands across the globe, evidence-based algorithms are essential to optimize outcomes and limit costly complications.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006660
spellingShingle Priyanka Naidu, MBChB, MS
Alexander T. Plonkowski, MBBS, MRes
Caroline A. Yao, MD, MS
William P. Magee, III, MD, DDS
A Summary of the Existing Data on Cleft Surgical Outcomes: What Do We Not Know?
Plastic and Reconstructive Surgery, Global Open
title A Summary of the Existing Data on Cleft Surgical Outcomes: What Do We Not Know?
title_full A Summary of the Existing Data on Cleft Surgical Outcomes: What Do We Not Know?
title_fullStr A Summary of the Existing Data on Cleft Surgical Outcomes: What Do We Not Know?
title_full_unstemmed A Summary of the Existing Data on Cleft Surgical Outcomes: What Do We Not Know?
title_short A Summary of the Existing Data on Cleft Surgical Outcomes: What Do We Not Know?
title_sort summary of the existing data on cleft surgical outcomes what do we not know
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006660
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