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PERIOPERATIVE MANAGEMENT IN CLEFT PALATE SURGERY

Dear colleagues, 

We invite your participation in this questionnaire on perioperative management in cleft palate surgery. It will approximately take 15 minutes to complete.  

Thank you for your time and we look forward to sharing the findings with you.
1.NAME OF YOUR HOSPITAL/ INSTITUTION
2.COUNTRY
3.How many primary palatoplasties do you approximately perform per year? (as a surgeon)
4.By what age do you aim to perform your primary palate repair (months)?

Timing of hard palate closure
5.By what age do you aim to perform your primary palate repair (months)?


Timing of soft palate closure
6.How many cleft surgeons perform primary palate repair in your centre?
7.If more than one surgeon performs palatoplasty in your centre, are there any specific differences among the surgeons involved regarding
Yes
No
I don't know
surgical timing
surgical technique
antibiotic regimen
feeding
8.Do you routinely use perioperative antibiotics for prevention of postoperative surgical site infections in palatoplasty?
9.Do you use a standardised antibiotic perioperative regimen for (uncomplicated) primary palatoplasty procedures? (e.g. standardly 3 days of antibiotics)
10.Please specify your perioperative antibiotic regimen regarding uncomplicated palatoplasty procedures:
11.Do you adapt the length of the antibiotic prophylaxis according to the following?
Yes
No
Type of cleft
(e.g. UCLP vs. BCLP)
Longer Operating Time
Wider Cleft
Patient living further away from hospital
Patient specific factors – i.e. certain co-morbidities
Antimicrobial oral flora
Primary palate repair vs. revision palatoplasty
12.Is there antibiotic stewardship at your institution?
13.Have you changed your antibiotic protocol throughout your career as a cleft surgeon?
14.If yes, what made you change your antibiotic protocol?
15.Have you experienced postoperative infection in any of your patients after primary palatoplasty?
16.Have you considered changing your antibiotic protocol as a result of surgical site infection?
17.Which antibiotics do you use in palatoplasty? (more than one option)
18.Via which route do you administer antibiotics in palatoplasty patients?

Pre-operative dose(s) (more than one option)
19.Via which route do you administer antibiotics in palatoplasty patients?

Post-operative dose(s) (more than one option)
20.SURGICAL SITE PREPARATION

Do you apply antibacterial solutions to prep the intraoral surgical site? (more than one option)
21.What is your postoperative feeding regime?

Inpatient stay (more than one option)
22.What is your postoperative feeding regime?

After discharge (more than one option)
23.Please further specify the timeline with regards to postoperative feeding (i.e. soft diet for 2 weeks)
24. Do you use any additional perioperative measures? (more than one option)
25.LENGTH OF STAY

How long do your patients (averagely) stay in hospital after primary palate repair?
26.Do you adapt the length of the stay according to the following?
Yes
No
Type of cleft
(e.g. UCLP vs. BCLP)
Longer Operating Time
Wider Cleft
Patient living further away from hospital
Patient specific factors – i.e. certain co-morbidities
Antimicrobial oral flora
Primary palate repair vs. revision palatoplasty
No, I don’t
27.Follow up regimen

When are your patients first seen for follow-up after discharge from the hospital?
28.Who sees them?
29.Do you routinely take blood samples postoperatively, to look at signs of infection?
30.If yes, please specify the time point?
31.Do you analyse a patient’s oral antimicrobial flora prior to surgery?
32.Suture material What suture material do you use in palatoplasty procedures to close the oral and nasal layer? (More than one option)
33.Do you remove the stitches postoperatively?
34.SECONDARY PALATOPLASTY

In secondary cases, do you check for dental caries before scheduling patients for surgery?
THANK YOU
Current Progress,
0 of 34 answered