Frequency of oronasal fistulae in complete cleft palate repair

• Published in: Journal of the College of Physicians and Surgeons--Pakistan Vol. 25; no. 1; pp. 46 - 49
• Main Authors: Aslam, Muhammad, Ishaq, Irfan, Malik, Shoaib, Fayyaz, Ghulam Qadir
• Format: Journal Article
• Language: English
• Published: Pakistan College of Physicians and Surgeons Pakistan 01-01-2015
• Subjects: Adolescent; Care and treatment; Child; Child, Preschool; Cleft palate; Cleft Palate - surgery; Complications and side effects; Distribution; Female; Fistulas; Follow-Up Studies; Humans; Incidence; Infant; Male; Nose Diseases - epidemiology; Nose Diseases - etiology; Oral Fistula - epidemiology; Oral Fistula - etiology; Oral Fistula - surgery; Pakistan - epidemiology; Postoperative Complications - epidemiology; Reconstructive Surgical Procedures - adverse effects; Reconstructive Surgical Procedures - methods; Recurrence; Reoperation; Retrospective Studies; Risk factors; Surgical Flaps; Treatment Outcome; Young Adult; Pakistan
• ISSN: 1022-386X; 1681-7168

To determine the frequency of oro-nasal fistula in patients undergoing complete cleft palate repair by two flappalatoplasty.
Case series.
Department of Plastic Surgery, Services Hospital, Lahore, from January to December 2013.
Patients admitted to the study place for repair of cleft palate after informed consent obtained were included. Cleft palate was repaired by two-flap palatoplasty, using Bardach technique. Patients were discharged on the second postoperative day and followed-up at third week postoperatively. During follow-up visits, fistulae formation and their sites were recorded on pre-designed proforma.
Among the total 90 patients, 40 patients (44.4%) were male and 50 patients (55.6%) were female. The mean age was 6.4 ± 5.7 years ranging from 9 months to 20 years. At third week follow-up, 5 patients (5.6%) had fistulae formation. Four patients (80%) had anterior fistulae and one patient (20%) had posterior fistula.
With two-flap palatoplasty Bardach procedure for repair of cleft palate, the complication of fistula formation was uncommon at 5.6%, provided the repair was tension free and multi-layered.