Does the type of cleft palate contribute to the need for secondary surgery? A national perspective

James A. Owusu, Meixia Liu, James D Sidman, Andrew R. Scott

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


Objectives/Hypothesis To determine whether the type of cleft palate is associated with a need for secondary surgery (oronasal fistula repair, speech surgery) after primary cleft palate repair. Study Design Retrospective analysis of a national pediatric database (2009 Kids' Inpatient Database). Methods We identified two distinct cohorts of children who underwent primary and secondary (revision) cleft palate repairs, respectively, from a national, pediatric database (2009 Kids' Inpatient Database). Revision ratios for each cleft palate diagnosis were calculated to identify diagnoses with higher rates of revision. Revision ratio was calculated by dividing the relative frequency of each diagnosis in the secondary repair cohort by the corresponding relative frequency in the primary repair cohort. Results In 2009, there were 1942 cases of primary cleft palate repair in the 44 states participating in the KID's inpatient database. Fifty-two percent (n=1018) were male. The average age at the time of surgery was 13.36 months. In the same year secondary cleft palate procedures were performed on 724 different patients, 54% (n=388) were males. The average age for secondary procedures was 59 months. Cleft lip and palate diagnoses had higher revision rate ratios (1.92) compared to cleft palate only (0.54) P <0.05. Conclusion Children with an initial diagnosis of cleft lip and palate, which is more severe than cleft palate only, have comparatively higher rates of secondary cleft palate procedures than children with cleft palate only. Level of Evidence N/A. Laryngoscope, 123:2387-2391, 2013

Original languageEnglish (US)
Pages (from-to)2387-2391
Number of pages5
Issue number10
StatePublished - Oct 2013


  • Cleft palate
  • HCUP KID database
  • revision surgery
  • secondary surgery


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