{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T10:42:08Z","timestamp":1788432128677,"version":"build-2803163510"},"reference-count":20,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2022,12,19]],"date-time":"2022-12-19T00:00:00Z","timestamp":1671408000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000072","name":"National Institute of Dental and Craniofacial Research","doi-asserted-by":"publisher","award":["R01DE027493"],"award-info":[{"award-number":["R01DE027493"]}],"id":[{"id":"10.13039\/100000072","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe current postoperative management practices following cleft palate repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A survey was administered to cleft surgeons to collect information on their demographic characteristics, surgical training, surgical practice, and postoperative management preferences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Eighteen tertiary referral hospitals across the United States. Participants: Surgeons (n\u2009=\u200967) performing primary cleft palate repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Postoperative diet restrictions were imposed by 92% of surgeons; pureed foods were allowed at one week after surgery by 90% of surgeons; a regular diet was allowed at one month by 80% of surgeons. Elbow immobilizers and\/or mittens were used by 85% of surgeons, for a median duration of two weeks. There was significant disagreement about postoperative use of bottles (61% allow), sippy cups (68% allow), pacifiers (29% allow), and antibiotics (45% prescribe). Surgeon specialty was not associated with any aspect of postoperative management ( p\u2009&gt;\u20090.05 for all comparisons). Surgeon years in practice, a measure of surgeon experience, was associated only with sippy cup use ( p\u2009&lt;\u20090.01). The hospital at which the surgeon practiced was associated with diet restrictions ( p\u2009&lt;\u20090.01), bottle use ( p\u2009&lt;\u20090.01), and use of elbow immobilizers or mittens ( p\u2009&lt;\u20090.01); however, many hospitals still had disagreement among their surgeons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Surgeons broadly agree on diet restrictions and the use of elbow immobilizers or mittens following palate repair. Almost all other aspects of postoperative management, including the type and duration of diet restriction as well as the duration of immobilizer use, are highly individualized.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656221146891","type":"journal-article","created":{"date-parts":[[2022,12,20]],"date-time":"2022-12-20T01:14:58Z","timestamp":1671498898000},"page":"827-833","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Cleft Palate Repair Postoperative Management: Current Practices in the United States"],"prefix":"10.1177","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2173-923X","authenticated-orcid":false,"given":"Thomas J.","family":"Sitzman","sequence":"first","affiliation":[{"name":"Division of Plastic Surgery, Phoenix Children's Hospital, Phoenix, Arizona, USA"},{"name":"University of Arizona College of Medicine \u2013 Phoenix, Phoenix, Arizona, USA"},{"name":"Department of Surgery, Mayo Clinic College of Medicine, Scottsdale, Arizona, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik M.","family":"Verhey","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mayo Clinic College of Medicine, Scottsdale, Arizona, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard E.","family":"Kirschner","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Nationwide Children's Hospital, and The Ohio State University Medical College, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3359-1591","authenticated-orcid":false,"given":"Sarah Hatch","family":"Pollard","sequence":"additional","affiliation":[{"name":"Department of Communication Sciences and Disorders, University of Utah, Salt Lake City, Utah, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4148-4729","authenticated-orcid":false,"given":"Adriane L.","family":"Baylis","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Nationwide Children's Hospital, and The Ohio State University Medical College, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathy L.","family":"Chapman","sequence":"additional","affiliation":[{"name":"Department of Communication Sciences and Disorders, University of Utah, Salt Lake City, Utah, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"on behalf of the Cleft Outcomes Research NETwork (CORNET) 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