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Table 3 Intraoperative and Postoperative factors associated with palatal fistula

From: Challenges to achieving low palatal fistula rates following primary cleft palate repair: experience of an institution in Uganda

Postoperative factor

No fistula (%)

Fistula present (%)

COR

(95% CI)

χ2

p-value

Type of palate repair

   

0.005

 Single stage

28 (80)

8 (42)

1

 

 Two stage

7 (20)

11 (58)

5.5 (1.6–18.8)

 

Lead surgeon’s experience

   

0.920

 Trainee

3 (8)

2 (11)

1

 

 Large volume operator

24 (69)

12 (63)

0.75 (0.1–5.1)

 

 Low volume operator

8 (23)

5 (26)

0.9 (0.1–7.7)

 

Technique used for hard palate repair

   

0.857

 Bilateral Von-langenbeck

12 (34)

8 (42)

1

 

 Bilateral Bardarch

9 (26)

3 (16)

0.5 (0.1–2.4)

 

 Hybrid flaps

9 (26)

5 (26)

0.8 (0.2–3.4)

 

 Others

5 (14)

3 (16)

0.9 (0.2–4.9)

 

Early postoperative infection (persistent fevers requiring antibiotics)

   

0.003

 No

33 (94)

12 (63)

1

 

 Yes

2 (6)

7 (37)

9.6 (1.8–52.9)

 

Late postoperative infection (fell sick within 4 weeks after discharge following surgery)

   

0.0004

 No

28 (80)

6 (32)

1

 

 Yes

7 (20)

13 (68)

8.7 (2.4–31.0)

 

Type of feeds given within 3 weeks after surgery

   

0.658

 Unmashed

3 (9)

1 (5)

1

 

 Liquid or mashed

32 (91)

18 (95)

1.6 (0.2–17.4)

 
  1. p-values in bold are statistically significant
  2. COR denotes Crude odds ratio (unadjusted), CI denotes confidence interval, χ2 denotes Pearson Chi square