Cleft Lip and Palate in Infants With Prenatal Opioid Exposure.

Abstract

OBJECTIVE:

This study examines phenotypic presentation and perioperative outcomes of cleft-related procedures for infants with cleft lip and/or palate (CL/P) and prenatal opioid exposure.

DESIGN:

This is a retrospective review of infants with prenatal opioid exposure treated for CL/P from 2008 to 2018.

SETTING:

Patients cared for at a tertiary center from 2008 to 2018.

PATIENTS/PARTICIPANTS:

Eighteen patients with documented prenatal opioid exposure and CL/P had primary repairs in our unit.

MAIN OUTCOME MEASURE(S):

The phenotypes of CL/P were characterized. Demographic data regarding additional exposures, as well as associated medical and social comorbidities were recorded. Outcome variables included operative delays, perioperative complications, and loss of follow-up.

RESULTS:

Isolated cleft palate (CP; 67%) was overrepresented among patients with prenatal opioid exposure and CL/P, as was Robin sequence (50% in isolated CP). Fifty-six percent had exposure to additional substances. A majority (67%) had other medical conditions or anomalies, and 17% had known genetic syndromes. Seventy-two percent were in state custody. Thirty-nine percent of exposed patients had delays in their planned operative dates due to medical and/or social factors. There were no postoperative readmissions following cleft procedures. Lack of follow-up was noted in 33% of patients.

CONCLUSIONS:

Infants with CL/P who have prenatal opioid exposure are likely to have additional medical conditions and complex social challenges.

• Authors: Olivia Langa, Alex T Cappitelli, Ingrid M Ganske
• Journal: The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association (Cleft Palate Craniofac J) Vol. 59 Issue 4 Pg. 497-504 (Apr 2022) ISSN: 1545-1569 [Electronic] United States
• PMID: 33906463 (Publication Type: Journal Article)

Chemical References

• Analgesics, Opioid

Topics

• Analgesics, Opioid (adverse effects)
• Cleft Lip (surgery)
• Cleft Palate (surgery)
• Female
• Humans
• Pierre Robin Syndrome
• Pregnancy
• Retrospective Studies