FREQUENCY OF ORO-NASAL FISTULA AFTER BARDACH REPAIR IN CLEFT PALATE PATIENTS
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Keywords
Bardach repair, Oro-nasal fistula, Cleft Palate
Abstract
Background: Cleft lip and palate are common craniofacial defects requiring complex surgical repair. Oro-nasal fistulae are a known complication of cleft palate surgery, particularly using the Bardach technique. This study aims to determine the incidence of these fistulae following cleft palate repair using this method.
Methods: A prospective study was conducted from August 2020 to February 2021 on 138 children undergoing primary cleft palate repair using the Bardach technique. Inclusion criteria included age between 6 and 24 months, while patients with previous cleft surgery or other craniofacial anomalies were excluded.
Results: The study included 138 patients aged 6-24 months undergoing cleft palate repair. Oro-nasal fistula developed in 11% of patients, with a higher incidence in males and those with complete cleft palate. No significant difference in fistula rate was found between age groups.
Conclusion: Oro-nasal fistula developed in 11% of cases, male patients with complete cleft palate showing higher incidence. Multilayer repairs were successfully provided by the two-flap palatoplasty (Bardach Technique).
References
2. Humera Z, Farid AK, Muhammad UF, Noor AN, Zafar F, Ali M, et al. Prevalence of cleft lip and palate in cousin marriage. Ann King Edward Med Coll 2006; 12: 99-100.
3. Moazzam NT, Farrukh M, Falak SM, Slaman AK, Kamran K, Ahsan R. Cleft lip and palate surgery where do we stand in the 21st century based on the study of referral patterns to a tertiary care centre. Ann King Edward Med Coll 2006; 12:33-6
4. Aziz MA. The use of buccal flap in closure of posterior postpalatoplasty fistula. Int J Pediatr Otorhinolaryngol 2008; 72: 1657-61.
5. Anderson EM, Sand vik L, Semb G. Abyholm F. Palatal fistulas after primary repair of clefts of secondary palate. Scand J Plast Reconstr Surg Hand Surg 2008; 42:296-9
6. Ysunza PA, Repetto GM, Pamplona MC, Calderon JF, Shaheen K, Chaiyasate K, et al. Current Controversies in Diagnosis and Management of Cleft Palate and Velopharyngeal Insufficiency. Biomed Res Int. 2015. 2015:196240
7. Schultz RC. Cleft palate fistula repair. Improved results by the addition of bone. Arch Otolaryngol Head Neck Surg 1989; 115:65-7
8. Rohrich RJ, Rowsell AR, Johns DF. Timing of hard palatal closure: A critical long-term analysis. Plast Reconstr Surg 1996; 98:236
9. Ravi KM, Amreen K, Sardar MS, Prakash K. A retrospective analysis of incidence and management of palatal fistula Indian J Plast Surg. 2018 SepDec; 51(3): 298–305
10. Black JS, Gampper TJ. Transverse mucoperiosteal flap inset by rotation for cleft palate repair: technique and outcomes. Ann Plast Surg. 2014 Jun. 72(6):S90-3
11. Tache A, Mommaerts MY. On the frequency of Oro-nasal fistulation after primary cleft palate repair. Cleft Palate Craniofac J. 2019;56(10):1302-13.
12. Rohrich RJ, Byrd HS. Optimal timing of cleft palate closure: speech, facial growth, and hearing considerations. Clin Plast Surg 1990; 17:27.
13. Mary Hardin-Jones, Kathy Chapman, Nancy J Scherer. Early intervention in children with cleft palate. June 13, 2006
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Umama Jelani
Senior Registrar (Plastic Surgery), Northwest General Hospital and Research Center, Peshawar Pakistan
Amber Azam
Post Graduate Resident (Plastic Surgery), Northwest General Hospital and Research Center, Peshawar Pakistan
Ekramuddin
Consultant Plastic Surgeon, Khyber General Hospital, Landikotal Pakistan
Zeeshan Saeed
Post Graduate Resident (Plastic Surgery), Northwest General Hospital and Research Center, Peshawar Pakistan
, Muhammad Ahsan Khan
6Post Graduate Resident (Plastic Surgery), Northwest General Hospital and Research Center, Peshawar Pakistan
Shahid Khan
Post Graduate Resident (Plastic Surgery), Northwest General Hospital and Research Center, Peshawar Pakistan
Waleed Anjum Qureshi
Registrar (Plastic Surgery), Northwest General Hospital and Research Center, Peshawar Pakistan
Wasim Khan
Post Graduate Resident (Orthopedic Surgery), Avicenna Medical and Dental College, Lahore PakistanMuqaddas Hidayat
3rd Year Medical Student, Northwest School of Medicine, Peshawar Pakistan