Our Summary

This study looked at using a robot to perform surgery to repair cleft palates. The robot was first tested on a cadaver to figure out the best way to position the patient and the robot. Then, the robot was used to perform the surgery on 10 patients with cleft palates. The surgeries were recorded and compared to 30 surgeries performed by hand. The study found that the robot could safely perform the surgery, and the robot’s precision might lessen damage to important parts of the mouth and improve the function of the palate and the Eustachian tube (which connects the middle ear to the throat). However, the surgeries performed by the robot took longer than the ones done by hand. No complications happened during or after surgery in either group.

FAQs

  1. How was the robot tested before being used on actual patients for cleft palate surgery?
  2. How did the results of the surgeries performed by the robot compare to those done by hand?
  3. Were there any complications during or after the surgeries performed by the robot?

Doctor’s Tip

One helpful tip a doctor might tell a patient about cleft palate surgery is to follow post-operative care instructions carefully to ensure proper healing and minimize the risk of complications. This may include keeping the surgical site clean, taking prescribed medications as directed, avoiding certain foods or activities that could disrupt the healing process, attending follow-up appointments, and contacting the doctor if any concerning symptoms or issues arise. By following these instructions, patients can help maximize the success of their surgery and achieve the best possible outcomes.

Suitable For

Patients who are typically recommended cleft palate surgery include infants, children, and adults with cleft palates that are affecting their ability to speak, eat, breathe, or hear properly. The surgery may also be recommended for patients with cosmetic concerns related to their cleft palate.

Timeline

  • Before surgery:
  1. Patient is diagnosed with cleft palate, which can happen either during pregnancy through ultrasound or after birth through physical examination.
  2. Patient undergoes pre-operative assessments, including medical history, physical examination, and possibly imaging tests.
  3. Patient and family meet with a team of healthcare professionals to discuss the surgery, risks, benefits, and post-operative care.
  4. Patient may undergo speech therapy and other interventions to prepare for surgery.
  • Day of surgery:
  1. Patient arrives at the hospital and is prepped for surgery, which typically involves fasting and anesthesia.
  2. Surgeon performs the cleft palate repair surgery, which can involve closing the gap in the palate and reshaping the mouth and nose structures.
  3. Surgery can take several hours, depending on the complexity of the case.
  4. Patient is monitored in the recovery room before being transferred to a hospital room for post-operative care.
  • After surgery:
  1. Patient may experience pain, swelling, and discomfort in the days following surgery.
  2. Patient is given pain medication and instructions on how to care for the surgical site.
  3. Patient may need to follow a special diet and avoid certain activities to aid in healing.
  4. Patient may need to attend follow-up appointments with the surgical team for monitoring and possible adjustments.
  5. Patient may undergo speech therapy and other interventions to address any speech or feeding difficulties.
  6. Over time, the surgical site heals and the patient’s speech, hearing, and overall quality of life may improve.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with cleft palate surgery?
  2. How long is the recovery period after cleft palate surgery?
  3. What type of anesthesia will be used during the surgery?
  4. How many surgeries have you performed to repair cleft palates?
  5. How will the robot assist in the surgery process and what are the benefits of using a robot for this procedure?
  6. How will the robot ensure precision during the surgery?
  7. Will there be any scarring after the surgery?
  8. What is the success rate of cleft palate surgery?
  9. Are there any long-term effects or considerations to be aware of after the surgery?
  10. What post-operative care will be required following the surgery?

Reference

Authors: Nadjmi N. Journal: Cleft Palate Craniofac J. 2016 May;53(3):326-31. doi: 10.1597/14-077. Epub 2015 Jun 29. PMID: 26120882