{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T11:13:56Z","timestamp":1759058036430,"version":"3.37.3"},"reference-count":37,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,11,21]],"date-time":"2017-11-21T00:00:00Z","timestamp":1511222400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Determine if overnight stenting is warranted after pharyngeal flap for management of velopharyngeal insufficiency (VPI) in pediatric patients<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a retrospective age\u2010matched cohort study from a single tertiary pediatric facility. Patients who underwent a posterior pharyngeal flap for VPI from January 1, 2013, to December 31, 2016, were included. Two equal groups were constructed based on when their nasal stents were removed, that is, postoperative day (POD) 0 or POD 1. Primary outcome measure was oxygen desaturation after surgery. Secondary outcome measures were total length of stay, need for narcotics, and oral intake based on POD. Additional information was gathered and evaluated as possible prognostic variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 27 matched pairs included in the study. One patient from each group required supplemental oxygen during the night of surgery. No escalation of care was needed in either case. The group whose stents were removed on POD 0 were discharged earlier than the group whose stents were removed on POD 1, <jats:italic>P<\/jats:italic> &lt; 0.0001. The POD 0 group took significantly more oral intake on POD 0 than the POD 1 group, <jats:italic>P<\/jats:italic> = 0.03. The POD 0 group had significantly more genetic syndromes than the POD 1 group, <jats:italic>P<\/jats:italic> = 0.02.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There was no benefit with overnight stenting. Earlier discharge from the hospital was achieved in the POD 0 group. No patient experienced need for reintubation, escalation of clinical care, postoperative hemorrhage, or death.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4. <jats:italic>Laryngoscope<\/jats:italic>, 128:750\u2013755, 2018<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.26974","type":"journal-article","created":{"date-parts":[[2017,11,21]],"date-time":"2017-11-21T11:17:04Z","timestamp":1511263024000},"page":"750-755","source":"Crossref","is-referenced-by-count":2,"title":["Can overnight stenting be safely eliminated following a pharyngeal flap? A matched comparison study"],"prefix":"10.1002","volume":"128","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1576-3380","authenticated-orcid":false,"given":"Andre M.","family":"Wineland","sequence":"first","affiliation":[{"name":"University of Arkansas School for Medical Sciences, Department of Otolaryngology\u2013Head and Neck Surgery, Division of Pediatric Otolaryngology Arkansas Children's Hospital Little Rock Arkansas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jareen","family":"Meinzen\u2010Derr","sequence":"additional","affiliation":[{"name":"Division of Biostatistics and Epidemiology Cincinnati Children's Hospital Medical Center Cincinnati Ohio U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Willging","sequence":"additional","affiliation":[{"name":"University of Cincinnati School of Medicine, Department of Otolaryngology\u2013Head and Neck Surgery, Division of Pediatric Otolaryngology Cincinnati Children's Hospital Medical Center Cincinnati Ohio U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,11,21]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2014.12.036"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199808000-00021"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(99)00006-3"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569(1992)029<0254:EOTSP>2.3.CO;2"},{"key":"e_1_2_6_6_1","first-page":"46","article-title":"A comprehensive study of pharyngeal flap surgery: tailor made flaps","volume":"16","author":"Shprintzen RJ","year":"1979","journal-title":"Cleft Palate J"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198008000-00007"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-1298(20)31649-7"},{"key":"e_1_2_6_9_1","first-page":"304","article-title":"A prospective and randomized series comparing superiorly and inferiorly based posterior pharyngeal flaps","volume":"9","author":"Whitaker LA","year":"1972","journal-title":"Cleft Palate J"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569(1999)036<0154:CBTTOP>2.3.CO;2"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200211000-00003"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1597\/03-148.1"},{"key":"e_1_2_6_13_1","first-page":"333","article-title":"Ueber die Beseitigung der naselnden Sprache bei angeborenen Spalten des harten und weichen Gaumens (Gaumensegel\u2010 Schlundnacht und Ruccklagerung des Gaumensegels)","author":"Passavant G","year":"1865","journal-title":"Arch Klin Chir"},{"key":"e_1_2_6_14_1","first-page":"235","article-title":"Ueber eine neue Methode der Staphylorrhaphie","volume":"4","author":"Schoenborn K","year":"1875","journal-title":"Verh Dtsch Ges Chir"},{"key":"e_1_2_6_15_1","first-page":"57","article-title":"Vorstellung eines falle von Staphyloplastik","volume":"15","author":"Schoenborn K","year":"1886","journal-title":"Verh Dtsch Ges Chir"},{"key":"e_1_2_6_16_1","first-page":"52","article-title":"A pressure\u2010flow technique for measuring velopharyngeal orifice area during continuous speech","volume":"1","author":"Warren DW","year":"1964","journal-title":"Cleft palate J"},{"key":"e_1_2_6_17_1","first-page":"103","article-title":"An analog study of cleft palate speech","volume":"3","author":"Warren DW","year":"1966","journal-title":"Cleft Palate J"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-196402000-00005"},{"key":"e_1_2_6_19_1","first-page":"297","article-title":"Effects of velopharyngeal incompetence upon speech","volume":"5","author":"Isshiki N","year":"1968","journal-title":"Cleft Palate J"},{"key":"e_1_2_6_20_1","first-page":"1","article-title":"Velopharyngeal function in connected speech","volume":"202","author":"Bjork L","year":"1961","journal-title":"Acta Radiologica"},{"key":"e_1_2_6_21_1","first-page":"331","article-title":"A clarification of the surgical goals in cleft palate speech and the introduction of the lateral port control (l.p.c.) pharyngeal flap","volume":"10","author":"Hogan VM","year":"1973","journal-title":"Cleft Palate J"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0007-1226(50)80020-6"},{"key":"e_1_2_6_23_1","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1016\/j.otot.2009.10.012","article-title":"Superiorly based pharyngeal flap and posterior pharyngeal wall augmentation","volume":"20","author":"Willging JP","year":"2009","journal-title":"Oper Tech Otolayngol Head Neck Surg"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2010.110"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.134.3.268"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e31824db85b"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-009-1157-7"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.133.3.216"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199404001-00009"},{"key":"e_1_2_6_30_1","first-page":"176","article-title":"Complications following posterior pharyngeal flap surgery","volume":"10","author":"Graham WP","year":"1973","journal-title":"Cleft Palate J"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.5402\/2012\/181202"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199909000-00005"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(80)80730-X"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1389-9457(99)00009-X"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004311-198802610-00016"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569(1993)030<0387:OSASTS>2.3.CO;2"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199807000-00002"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e31827c84f2"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.26974","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.26974","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T07:37:12Z","timestamp":1695713832000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.26974"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11,21]]},"references-count":37,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,3]]}},"alternative-id":["10.1002\/lary.26974"],"URL":"https:\/\/doi.org\/10.1002\/lary.26974","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"type":"print","value":"0023-852X"},{"type":"electronic","value":"1531-4995"}],"subject":[],"published":{"date-parts":[[2017,11,21]]}}}