{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T04:01:01Z","timestamp":1793419261682,"version":"4.5.0"},"reference-count":14,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:00:00Z","timestamp":1771977600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2026,11]]},"abstract":"\n Objective<\/jats:title>\n We sought to characterize factors associated with postoperative complications in patients undergoing primary cleft lip repair (CLR).<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n The National Surgical Quality Improvement Program-Pediatric database was queried to identify patients under 12 months old undergoing CLR using CPT codes. Multivariable analysis was conducted to characterize complications and associated comorbidities.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n A multicenter sample.<\/jats:p>\n <\/jats:sec>\n \n Patients\/Participants<\/jats:title>\n A total of 11\u00a0957 cases (81.9% unilateral CLR and 18.1% bilateral CLR) were identified.<\/jats:p>\n <\/jats:sec>\n \n Interventions<\/jats:title>\n None.<\/jats:p>\n <\/jats:sec>\n \n Main Outcomes\/Measures<\/jats:title>\n The postoperative outcomes of significance were surgical site infection (SSI), wound dehiscence, and unplanned reintubation within 30 days of CLR.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The cohort had a mean age of 4.7\u2009\u00b1\u20092.0 months and a median American Society of Anesthesiologists classification of 2. SSIs occurred in 0.6% of cases and were independently associated with bilateral cleft anatomy (OR 2.16,\n P<\/jats:italic>\n \u2009=\u2009.003) and longer anesthesia time (OR per minute: 1.004,\n P<\/jats:italic>\n \u2009=\u2009.009). Wound dehiscence occurred in 0.4% of patients and was independently associated with bilateral cleft anatomy (OR 4.03,\n P<\/jats:italic>\n \u2009<\u2009.001) but was associated with shorter anesthesia duration (OR per minute: 0.991,\n P<\/jats:italic>\n \u2009<\u2009.001). Unplanned reintubation occurred in 0.2% of cases, with these patients having significantly higher rates of multiple comorbidities.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Wound dehiscence, SSI, and unplanned reintubation were rare complications following CLR. Patients with a bilateral cleft lip had increased odds of both SSI and wound dehiscence.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/10556656261424581","type":"journal-article","created":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T16:41:31Z","timestamp":1772037691000},"page":"3926-3930","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Risk Factors for Infection, Dehiscence, and Unplanned Reintubation Following Cleft Lip Repair"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-4914-7369","authenticated-orcid":false,"given":"Aidin","family":"Gharavi","sequence":"first","affiliation":[{"name":"Mayo Clinic Alix School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth B.","family":"Habermann","sequence":"additional","affiliation":[{"name":"Mayo Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie F.","family":"Polites","sequence":"additional","affiliation":[{"name":"Mayo Clinic"},{"name":"Department of Pediatric and Adolescents Medicine, Mayo Clinic, Rochester, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samir","family":"Mardini","sequence":"additional","affiliation":[{"name":"Mayo Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2082-6654","authenticated-orcid":false,"given":"Waleed","family":"Gibreel","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Adolescents Medicine, Mayo Clinic, Rochester, MN, USA"},{"name":"Mayo Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawit","family":"Haile","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Adolescents Medicine, Mayo Clinic, Rochester, MN, USA"},{"name":"Mayo Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,25]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/scs.0000000000005780"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/scs.0000000000000832"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1597\/14-158"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/pan.15121"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e318257012b"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/000313480907500916"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1597\/14-251"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.4103\/0189-6725.125447"},{"key":"e_1_3_2_10_2","unstructured":"American College of Surgeons. 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