Video recording study of infants undergoing primary cheiloplasty: are arm restraints really needed?

The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
Kazuyuki TokiokaTakashi Nakatsuka

Abstract

Arm restraints are traditionally used during the perioperative period for cleft surgery to prevent the affected infant from damaging the wound, but the benefits of this standard practice have been controversial. To investigate whether the use of arm restraints provides any benefit to the patient, a video recording study of infants undergoing primary cheiloplasty was conducted. Analysis of video recordings of infants undergoing cheiloplasty. Shizuoka Children's Hospital, Shizuoka, Japan. Eight patients who underwent primary cheiloplasty were recorded for 24 hours on the day before the operation, the day of the operation, and the fourth postoperative day. All recordings were examined by the first author, and the frequency and manner of lip touching were evaluated. Although the frequency of touching varied considerably from 2 to 136 times per 24 hours, it was not statistically different among the 3 recording days (Friedman test, p > .05). All infants touched their lips softly and never attempted to manipulate or scratch their wound. None of the patients pinched the stitches or adhesive tape on the wound with their hands. Although the examined infants touched their lips, they never touched them in a manner that would be harmful to ...Continue Reading

References

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Citations

Sep 12, 2012·Annals of Plastic Surgery·Brett MichelottiDonald Mackay
Aug 2, 2011·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Shashank LambaNaveen Kumar
Mar 13, 2014·Clinics in Plastic Surgery·Raj M Vyas, Stephen M Warren
Oct 22, 2019·Annals of Plastic Surgery·John M RobertsThomas D Samson
Jan 7, 2021·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Matthew RanzerChad A Purnell

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