Cleft Palate
Conditions
Keywords
oro-nasal fistula, cleft palate, buccal pad of fat free graft
Brief summary
36 cleft palate patients had residual oronasal fistula included in this study divided randomly to two groups group I (control group): the fistula was repaired using two layers (oral and nasal layers) group II (study group): The fistula was repaired using two layers (oral and nasal layers ) with interpositional free buccal pad of fat graft between two layers
Detailed description
36 cleft palate patients had residual oronasal fistula included in this study devided randomly to two groups group I (control group):the fistula was repaired using two layers nasal layer:closed by turn-in flaps, taken from around the margins of the fistula by making incision around margins of distance slightly larger than half of diameter of fistula bilaterally, then closed by inverted interrupted suture Vicry l 4/0. oral layer:(Bardach two-flap palatoplasty) was used and raised on opposite sides of the cleft palate and brought together in the midline to create a continuous palate group II (study group): The fistula was repaired using two layers (oral and nasal layers ) as group I with buccal pad of fat free graft was taken through veastibular incision at zygomatic buttress then blunt dissection to get buccal fat which was released from its pedicle and inserted between oral and nasal layers.
Interventions
PROCEDUREclosure of oro-nasal fistula in cleft palate patients
group I : Oro-nasal fistula will be closed in two layers, nasal layer by closing the fistula margin and turning over of flap and oral layer will be closed using two flap palatoplasty group II; the same procedure with insertion of free graft of buccal pad of fat between oral and nasal layers
Sponsors
Tanta University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
5 Years to 20 Years
Healthy volunteers
Yes
Inclusion criteria
* cleft palate patients with oro-nasal fistula fistula in hard palate
Exclusion criteria
* syndromatic patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| evaluation of wound healing | one month | five level 1. very poor 2. poor 3. good 4. very good 5. excellent |
| recurrence of oro-nasal fistula | one -3 months | present or abscent |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| postoperative pain | one month | using visual analogue scale (0-10) 0: no pain 10: the worest pain |
Countries
Egypt
Outcome results
None listed