Abstract：
OBJECTIVE: To assess the effect of palatoplasty on growth velocity in undernourished and nourished orally fed children with cleft palate.
METHODS: A retrospective chart review was conducted using a data query with cleft-associated ICD-10 and ICD-9 codes to identify children who underwent cleft palate repair between 2006 and 2022 at a tertiary pediatric hospital. Data gathered included demographics, admission variables, weight gain, and weight percentile as per the WHO growth chart data. Inclusion was limited to patients with complete growth data and without parenteral feeding support. Nutritional status was defined as undernourished (≤3rd percentile) and nourished (>3rd percentile). Between and within-group comparisons were made using nonparametric tests.
RESULTS: A total of 192 patients met the study criteria. Among undernourished patients, the median pre- and postsurgical weekly weight gain was 0.09 kg and 0.05 kg (p = <0.0001), and the median growth percentiles were 0.67% and 1.1%, respectively (p = 0.03). Among nourished patients, the median pre- and postsurgical weekly weight gain was 0.12 kg and 0.07 kg (p = <0.0001), and the median growth percentiles were 25.4% and 29.5%, respectively (p = <0.0001). The postsurgical reduction in weight gain per week was similar across nutritional status (p = 0.43), however, the nourished group demonstrated a larger increase in median growth percentile (3.3% vs. 0.23%; p = 0.03).
CONCLUSIONS: This study demonstrates that palatoplasty does not independently improve growth velocity in children who were able to maintain an oral preoperative diet. In the case of undernourished children, there was no clinically significant improvement in postoperative growth percentiles.
METHODS: 3 Laryngoscope, 2024.
METHODS: A retrospective chart review was conducted using a data query with cleft-associated ICD-10 and ICD-9 codes to identify children who underwent cleft palate repair between 2006 and 2022 at a tertiary pediatric hospital. Data gathered included demographics, admission variables, weight gain, and weight percentile as per the WHO growth chart data. Inclusion was limited to patients with complete growth data and without parenteral feeding support. Nutritional status was defined as undernourished (≤3rd percentile) and nourished (>3rd percentile). Between and within-group comparisons were made using nonparametric tests.
RESULTS: A total of 192 patients met the study criteria. Among undernourished patients, the median pre- and postsurgical weekly weight gain was 0.09 kg and 0.05 kg (p = <0.0001), and the median growth percentiles were 0.67% and 1.1%, respectively (p = 0.03). Among nourished patients, the median pre- and postsurgical weekly weight gain was 0.12 kg and 0.07 kg (p = <0.0001), and the median growth percentiles were 25.4% and 29.5%, respectively (p = <0.0001). The postsurgical reduction in weight gain per week was similar across nutritional status (p = 0.43), however, the nourished group demonstrated a larger increase in median growth percentile (3.3% vs. 0.23%; p = 0.03).
CONCLUSIONS: This study demonstrates that palatoplasty does not independently improve growth velocity in children who were able to maintain an oral preoperative diet. In the case of undernourished children, there was no clinically significant improvement in postoperative growth percentiles.
METHODS: 3 Laryngoscope, 2024.
摘要：
目的：评估腭成形术对营养不良和口服营养的腭裂患儿生长速度的影响。
方法：使用与ICD-10和ICD-9编码相关的数据查询进行回顾性图表审查，以确定在2006年至2022年期间在三级儿科医院接受腭裂修复的儿童。收集的数据包括人口统计，准入变量，体重增加,和重量百分位数根据世卫组织增长图数据。纳入仅限于具有完整生长数据且没有肠胃外喂养支持的患者。营养状况定义为营养不良（≤第3百分位数）和营养（>第3百分位数）。使用非参数检验进行组间和组内比较。
结果：总共192名患者符合研究标准。在营养不良的患者中，术前和术后每周平均体重增加为0.09kg和0.05kg(p=<0.0001),中位数增长百分位数分别为0.67%和1.1%，分别（p=0.03）。在有营养的病人中，术前和术后每周平均体重增加为0.12kg和0.07kg(p=<0.0001),中位数增长百分位数分别为25.4%和29.5%，分别（p=<0.0001）。术后每周体重增加的减少与营养状况相似（p=0.43），然而,营养组的中位生长百分位数增加较大(3.3%与0.23%；p=0.03)。
结论：这项研究表明，对于能够维持口服术前饮食的儿童，腭成形术并不能独立地提高生长速度。在营养不良儿童的情况下，术后生长百分位数无临床显著改善.
方法：3喉镜，2024.
方法：使用与ICD-10和ICD-9编码相关的数据查询进行回顾性图表审查，以确定在2006年至2022年期间在三级儿科医院接受腭裂修复的儿童。收集的数据包括人口统计，准入变量，体重增加,和重量百分位数根据世卫组织增长图数据。纳入仅限于具有完整生长数据且没有肠胃外喂养支持的患者。营养状况定义为营养不良（≤第3百分位数）和营养（>第3百分位数）。使用非参数检验进行组间和组内比较。
结果：总共192名患者符合研究标准。在营养不良的患者中，术前和术后每周平均体重增加为0.09kg和0.05kg(p=<0.0001),中位数增长百分位数分别为0.67%和1.1%，分别（p=0.03）。在有营养的病人中，术前和术后每周平均体重增加为0.12kg和0.07kg(p=<0.0001),中位数增长百分位数分别为25.4%和29.5%，分别（p=<0.0001）。术后每周体重增加的减少与营养状况相似（p=0.43），然而,营养组的中位生长百分位数增加较大(3.3%与0.23%；p=0.03)。
结论：这项研究表明，对于能够维持口服术前饮食的儿童，腭成形术并不能独立地提高生长速度。在营养不良儿童的情况下，术后生长百分位数无临床显著改善.
方法：3喉镜，2024.
