J Korean Assoc Maxillofac Plast Reconstr Surg.  2001 Sep;23(5):458-460.

Continuous Postopdrative Bleeding after Primary Palatorrhaphy: A case Report

• Shim CH
• Kim YK
• Chae BK

Abstract

A 11-month-old infancy was referred for treatment of cleft palate. The patient's congenital deformities had included oronasal fistula on the soft palate and bifid uvula. Furrow double-opposing Z-plasty was performed under general anesthesia. However, postoperative bleeding developed at ward. Despite the pressure of operative wound, venous oozing continued and hemoglobin concentration and RBC were decreased (Hb: 5.5g/dL, RBC: 1.98 x106/mm3). The patient was pale and confused and transferred to Surgical Intensive Care Unit(SICU). We could not keep the peripheral venous line and there was a high risk of hypovolemic shock. Emergency transfusion was performed through the central femoral venous line and emergency operation for bleeding control was carried out. We explored the operation site and found bleeding point from the posterior pharyngeal wall. Electrocoagulation and surgicel packing were carried out and bleeding was stopped.

Keyword

Cleft palate; Bleeding; Emergency operation; Posterior pharyngeal wall

MeSH Terms

Anesthesia, General
Cleft Palate
Congenital Abnormalities
Electrocoagulation
Emergencies
Fistula
Hemorrhage*
Humans
Infant
Critical Care
Palate, Soft
Shock
Uvula
Wounds and Injuries