{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T08:46:57Z","timestamp":1787993217114,"version":"build-2784847793"},"reference-count":41,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>As a component of the Maintenance of Certification process from 2003 to 2019, the American Board of Plastic Surgery tracked 20 common plastic surgery operations. By evaluating the data collected over 16 years, the authors are able to examine the practice patterns of pediatric\/craniofacial surgeons in the United States.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>Cumulative tracer data for cleft palate repair was reviewed as of April of 2014 and September of 2019. Evidence-based medicine articles were reviewed. Results were tabulated in three categories: pearls, or topics that were covered in both the tracer data and evidence-based medicine articles; topics that were covered by evidence-based medicine articles but not collected in the tracer data; and topics that were covered in tracer data but not addressed in evidence-based medicine articles.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Two thousand eight hundred fifty cases had been entered as of September of 2019. With respect to pearls, pushback, von Langenbeck, and Furlow repairs all declined in use, whereas intravelar veloplasty increased. For items not in the tracer, the quality of studies relating to analgesia is among the highest of all areas of study regarding cleft palate repair. In terms of variables collected by the tracer but not studied, in 2019, 41 percent of patients received more than 1 day of antibiotics.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>This article provides a review of cleft palate tracer data and summarizes the research in the field. Review of the tracer data enables cleft surgeons to compare their outcomes to national norms and provides an opportunity for them to consider modifications that may enhance their practice.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/prs.0000000000007018","type":"journal-article","created":{"date-parts":[[2020,4,28]],"date-time":"2020-04-28T22:53:01Z","timestamp":1588114381000},"page":"371-379","source":"Crossref","is-referenced-by-count":4,"title":["Lessons from American Board of Plastic Surgery Maintenance of Certification Tracer Data: A 16-Year Review of Clinical Practice Patterns and Evidence-Based Medicine in Cleft Palate Repair"],"prefix":"10.1097","volume":"146","author":[{"given":"Aaron M.","family":"Kearney","sequence":"first","affiliation":[{"name":"From the Division of Plastic Surgery, Ann & Robert H. Lurie Children\u2019s Hospital of Chicago, and Northwestern University Feinberg School of Medicine; OrthoCarolina; and the American Board of Plastic Surgery."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael S.","family":"Gart","sequence":"additional","affiliation":[{"name":"From the Division of Plastic Surgery, Ann & Robert H. Lurie Children\u2019s Hospital of Chicago, and Northwestern University Feinberg School of Medicine; OrthoCarolina; and the American Board of Plastic Surgery."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith E.","family":"Brandt","sequence":"additional","affiliation":[{"name":"From the Division of Plastic Surgery, Ann & Robert H. Lurie Children\u2019s Hospital of Chicago, and Northwestern University Feinberg School of Medicine; OrthoCarolina; and the American Board of Plastic Surgery."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun K.","family":"Gosain","sequence":"additional","affiliation":[{"name":"From the Division of Plastic Surgery, Ann & Robert H. Lurie Children\u2019s Hospital of Chicago, and Northwestern University Feinberg School of Medicine; OrthoCarolina; and the American Board of Plastic Surgery."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,4,28]]},"reference":[{"key":"R1-20231108","doi-asserted-by":"crossref","first-page":"2216","DOI":"10.1097\/PRS.0b013e3181f830eb","article-title":"An evidence-based approach to cleft palate repair.","volume":"126","author":"Liau","year":"2010","journal-title":"Plast Reconstr Surg"},{"key":"R2-20231108","doi-asserted-by":"crossref","first-page":"1644","DOI":"10.1097\/PRS.0b013e3182a80952","article-title":"Evidence-based medicine: Cleft palate.","volume":"132","author":"Chepla","year":"2013","journal-title":"Plast Reconstr Surg"},{"key":"R3-20231108","doi-asserted-by":"crossref","first-page":"191e","DOI":"10.1097\/PRS.0000000000002854","article-title":"Evidence-based medicine: Cleft palate.","volume":"139","author":"Woo","year":"2017","journal-title":"Plast Reconstr Surg"},{"key":"R4-20231108","doi-asserted-by":"crossref","first-page":"852e","DOI":"10.1097\/PRS.0000000000000184","article-title":"Cleft palate repair and velopharyngeal dysfunction.","volume":"133","author":"Hopper","year":"2014","journal-title":"Plast Reconstr Surg"},{"key":"R5-20231108","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1001\/archoto.2011.8","article-title":"Increased prevalence of obstructive sleep apnea in patients with cleft palate.","volume":"137","author":"Robison","year":"2011","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"R6-20231108","doi-asserted-by":"crossref","first-page":"1475","DOI":"10.1016\/j.bjps.2014.07.026","article-title":"Screening for obstructive sleep apnea in children with syndromic cleft lip and\/or palate.","volume":"67","author":"Silvestre","year":"2014","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"R7-20231108","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1017\/S0022215112002563","article-title":"Post-operative respiratory distress following primary cleft palate repair.","volume":"127","author":"Smith","year":"2013","journal-title":"J Laryngol Otol"},{"key":"R8-20231108","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1597\/09-120","article-title":"Influence of timing of hard palate repair in a two-stage procedure on early speech development in Danish children with cleft palate.","volume":"49","author":"Willadsen","year":"2012","journal-title":"Cleft Palate Craniofac J"},{"key":"R9-20231108","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1597\/05-065.1","article-title":"Results of randomized controlled trial of soft palate first versus hard palate first repair in unilateral complete cleft lip and palate.","volume":"43","author":"Richard","year":"2006","journal-title":"Cleft Palate Craniofac J"},{"issue":"Suppl 2","key":"R10-20231108","doi-asserted-by":"crossref","first-page":"1723","DOI":"10.1097\/SCS.0b013e3181b3ef71","article-title":"Early one-stage repair of complete unilateral cleft lip and palate.","volume":"20","author":"De Mey","year":"2009","journal-title":"J Craniofac Surg"},{"key":"R11-20231108","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1080\/14015439.2017.1390606","article-title":"Speech outcome in young children born with unilateral cleft lip and palate treated with one- or two-stage palatal repair and the impact of early intervention.","volume":"44","author":"Raud Westberg","year":"2019","journal-title":"Logoped Phoniatr Vocol"},{"key":"R12-20231108","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1097\/01.prs.0000220875.87222.ac","article-title":"Two-flap palatoplasty: 20-year experience and evolution of surgical technique.","volume":"118","author":"Salyer","year":"2006","journal-title":"Plast Reconstr Surg"},{"key":"R13-20231108","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1097\/00006534-200102000-00002","article-title":"Palatal fistulas: Rare with the two-flap palatoplasty repair.","volume":"107","author":"Wilhelmi","year":"2001","journal-title":"Plast Reconstr Surg"},{"key":"R14-20231108","doi-asserted-by":"crossref","first-page":"993","DOI":"10.1016\/j.ijporl.2009.03.027","article-title":"Cleft lip and palate treatment of 530 children over a decade in a single centre.","volume":"73","author":"Vlastos","year":"2009","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"R15-20231108","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1097\/SCS.0b013e318195ab0a","article-title":"Speech evaluation after repair of unilateral complete cleft palate using modified 2-flap palatoplasty.","volume":"20","author":"Koh","year":"2009","journal-title":"J Craniofac Surg"},{"key":"R16-20231108","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1097\/SAP.0b013e3181d60763","article-title":"Prospective clinical trial comparing outcome measures between Furlow and von Langenbeck palatoplasties for UCLP.","volume":"66","author":"Williams","year":"2011","journal-title":"Ann Plast Surg"},{"key":"R17-20231108","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1597\/10-009","article-title":"Otologic and audiologic outcomes with the Furlow and von Langenbeck with intravelar veloplasty palatoplasties in unilateral cleft lip and palate.","volume":"48","author":"Antonelli","year":"2011","journal-title":"Cleft Palate Craniofac J"},{"key":"R18-20231108","doi-asserted-by":"crossref","first-page":"e239","DOI":"10.1016\/j.bjps.2013.05.001","article-title":"Tensor tenopexy: A clinical study to assess its effectiveness in improving eustachian tube function and preventing hearing loss in patients with cleft palate.","volume":"66","author":"Tiwari","year":"2013","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"R19-20231108","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1097\/PRS.0b013e3181c2a43a","article-title":"Tensor veli palatini preservation, transection, and transection with tensor tenopexy during cleft palate repair and its effects on eustachian tube function.","volume":"125","author":"Flores","year":"2010","journal-title":"Plast Reconstr Surg"},{"key":"R20-20231108","doi-asserted-by":"crossref","first-page":"618e","DOI":"10.1097\/PRS.0000000000000548","article-title":"Fistula incidence after primary cleft palate repair: A systematic review of the literature.","volume":"134","author":"Hardwicke","year":"2014","journal-title":"Plast Reconstr Surg"},{"key":"R21-20231108","doi-asserted-by":"crossref","first-page":"e1826","DOI":"10.1097\/GOX.0000000000001826","article-title":"A prospective study investigating fistula rate following primary palatoplasty using acellular dermal matrix.","volume":"6","author":"Gilardino","year":"2018","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"R22-20231108","doi-asserted-by":"crossref","first-page":"1955","DOI":"10.1097\/SCS.0b013e31822ea7fd","article-title":"Effect of rectal diclofenac and acetaminophen alone and in combination on postoperative pain after cleft palate repair in children.","volume":"22","author":"Mireskandari","year":"2011","journal-title":"J Craniofac Surg"},{"key":"R23-20231108","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1097\/01.sap.0000221468.54751.09","article-title":"Short-stay cleft palate surgery with intraoperative dexamethasone and Marcaine.","volume":"57","author":"Bateman","year":"2006","journal-title":"Ann Plast Surg"},{"key":"R24-20231108","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1111\/pan.12393","article-title":"Analgesic effectiveness of acetaminophen for primary cleft palate repair in young children: A randomized placebo controlled trial.","volume":"24","author":"Nour","year":"2014","journal-title":"Paediatr Anaesth"},{"key":"R25-20231108","doi-asserted-by":"crossref","first-page":"1362","DOI":"10.1097\/ALN.0000000000000171","article-title":"Bilateral suprazygomatic maxillary nerve block for cleft palate repair in children: A prospective, randomized, double-blind study versus placebo.","volume":"120","author":"Chiono","year":"2014","journal-title":"Anesthesiology"},{"key":"R26-20231108","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1111\/pan.12124","article-title":"A randomized study of surgical site infiltration with bupivacaine or ketamine for pain relief in children following cleft palate repair.","volume":"23","author":"Jha","year":"2013","journal-title":"Paediatr Anaesth"},{"key":"R27-20231108","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1097\/00000539-200104000-00020","article-title":"Prophylactically-administered rectal acetaminophen does not reduce postoperative opioid requirements in infants and small children undergoing elective cleft palate repair.","volume":"92","author":"Bremerich","year":"2001","journal-title":"Anesth Analg"},{"key":"R28-20231108","doi-asserted-by":"crossref","first-page":"1200","DOI":"10.1177\/1055665618764516","article-title":"Opioid sparing in cleft palate surgery.","volume":"55","author":"Carr","year":"2018","journal-title":"Cleft Palate Craniofac J"},{"key":"R29-20231108","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1597\/06-206.1","article-title":"Comparison of codeine phosphate and morphine sulphate in infants undergoing cleft palate repair.","volume":"44","author":"Fenlon","year":"2007","journal-title":"Cleft Palate Craniofac J"},{"key":"R30-20231108","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1597\/1545-1569(2002)039<0145:AOFPAO>2.0.CO;2","article-title":"Airway obstruction following palatoplasty: Analysis of 247 consecutive operations.","volume":"39","author":"Antony","year":"2002","journal-title":"Cleft Palate Craniofac J"},{"key":"R31-20231108","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1080\/028443101750523186","article-title":"Risk factors in children having palatoplasty.","volume":"35","author":"Eriksson","year":"2001","journal-title":"Scand J Plast Reconstr Surg Hand Surg"},{"key":"R32-20231108","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1080\/028443101300165318","article-title":"Identification of children at high anaesthetic risk at the time of primary palatoplasty.","volume":"35","author":"Henriksson","year":"2001","journal-title":"Scand J Plast Reconstr Surg Hand Surg"},{"key":"R33-20231108","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1597\/1545-1569_1999_036_0340_teopst_2.3.co_2","article-title":"The efficacy of perioperative steroid therapy in pediatric primary palatoplasty.","volume":"36","author":"Senders","year":"1999","journal-title":"Cleft Palate Craniofac J"},{"key":"R34-20231108","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1046\/j.1460-9592.2003.01102.x","article-title":"Remifentanil infusion for cleft palate surgery in young infants.","volume":"13","author":"Roulleau","year":"2003","journal-title":"Paediatr Anaesth"},{"key":"R35-20231108","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1111\/j.1460-9592.2006.01999.x","article-title":"Hemodynamic differences between propofol-remifentanil and sevoflurane anesthesia for repair of cleft lip and palate in infants.","volume":"17","author":"Steinmetz","year":"2007","journal-title":"Paediatr Anaesth"},{"key":"R36-20231108","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/j.ijom.2009.12.012","article-title":"Craniofacial morphological outcome following treatment with three different surgical protocols for complete unilateral cleft lip and palate: A preliminary study.","volume":"39","author":"Kulewicz","year":"2010","journal-title":"Int J Oral Maxillofac Surg"},{"key":"R37-20231108","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1597\/08-187_1","article-title":"Characterization of the nasal, sublingual, and oropharyngeal mucosa microbiota in cleft lip and palate individuals before and after surgical repair.","volume":"47","author":"Cocco","year":"2010","journal-title":"Cleft Palate Craniofac J"},{"key":"R38-20231108","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1597\/04-083r.1","article-title":"Study of viridans streptococci and Staphylococcus species in cleft lip and palate patients before and after surgery.","volume":"42","author":"Arief","year":"2005","journal-title":"Cleft Palate Craniofac J"},{"key":"R39-20231108","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1597\/03-108.1","article-title":"The bacteriology of children before primary cleft lip and palate surgery.","volume":"42","author":"Chuo","year":"2005","journal-title":"Cleft Palate Craniofac J"},{"key":"R40-20231108","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.bjoms.2016.09.018","article-title":"Preoperative evaluation of micro-organisms in non-operated cleft in soft palate: Impact on use of antibiotics.","volume":"55","author":"Roode","year":"2017","journal-title":"Br J Oral Maxillofac Surg"},{"key":"R41-20231108","doi-asserted-by":"crossref","first-page":"59e","DOI":"10.1097\/PRS.0000000000001324","article-title":"Role of postoperative antimicrobials in cleft palate surgery: Prospective, double-blind, randomized, placebo-controlled clinical study in India.","volume":"136","author":"Aznar","year":"2015","journal-title":"Plast Reconstr Surg"}],"container-title":["Plastic &amp; Reconstructive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/PRS.0000000000007018","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,8]],"date-time":"2023-11-08T22:02:03Z","timestamp":1699480923000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/PRS.0000000000007018"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,28]]},"references-count":41,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1097\/prs.0000000000007018","relation":{},"ISSN":["0032-1052"],"issn-type":[{"value":"0032-1052","type":"print"}],"subject":[],"published":{"date-parts":[[2020,4,28]]}}}