Cleft Palate Children, Laser
Conditions
Keywords
low level laser , cleft palate , healing
Brief summary
Does the use of low level laser (LLL) after surgical correction of cleft palate improve healing and decrease incidence of oronasal fistula?
Detailed description
Primary objective: To evaluate the effect of adjunctive use of LLL after surgical correction of cleft palate in improving healing among children with cleft palate Secondary objectives To evaluate the effect of adjunctive use of LLL after surgical correction of cleft palate in decreasing incidence of oronasal fistula after surgical repair among children with cleft palate Study group: Will use LLL after surgical correction of cleft palate at day of surgery, 1st day and 3rd day Control group: Surgical correction of cleft palate without Adjunctive use of LLL Inclusion criteria: 1. Age: between 6 to 18 months of age 2. Patient has isolated cleft palate Exclusion criteria: 1. Systemic disease 2. Hematological disorder Outcome: Outcome measure (s) (1ry, 2ry) 1ry: healing assessment 2ry: occurrence of oronasal fistula
Interventions
LLLT with wavelength (λ) of (600 nm to 700nm), The laser will be held 1 cm away from the surface of the target tissue, the irradiated area is 0,5 cm2.The area of impact is the surgical wound zone and the neighboring 0,5-1,0 cm of the adjacent oral mucosa for 1min and 22sec, at day of surgery, 1st day and 3rd day and come for follow up visits at 5th day ,2 weeks, month and 3 months postoperative
placebo like device as it like low level laser device shape but with no effect to blind the intervention
Sponsors
Study design
Masking description
Single blinded study. Blinding to the patient will be ensured by masking the instruments during the follow up. The patient will be informed of the steps of the follow up (as mentioned in the consent form) without getting into details of the method of follow up.
Intervention model description
Participants will be randomly assigned to either control or study group in the ratio of 1:1 using random number table.
Eligibility
Inclusion criteria
1. Age: between 6 to 18 months of age 2. Patient has isolated cleft palate
Exclusion criteria
1. Systemic disease 2. Hematological disorder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| wound healing | 2 years | healing by days to closure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| occurrence of oronasal fistula | 3 months | Postoperative complications; mainly oronasal fistula by; clinical observation: inspection, clinical signs: regurgitation of food or drink |