1ЭХЭМҮТ, 2ЭМШУИС
Background: The problems of complete cleft palate still represent a great challenge because of the potential associated sequalae and complications with the current treatment scheme which necessitated finding out a new technique of treatment that can minimize these problems. The objective of this study was to compare the efficacy of the new modified palatoplasty technique with “traditional” palate repair techniques.
Materials and methods: We retrospectively reviewed 436 treated nonsyndromic cases underwent palatoplasty between 1992 and 2008 at the National Center for Maternal and Child Health. The patients were divided into two groups for comparing the new scheme (185 cases) and the old one (251 cases) as well as comparing three common popular techniques.
Results: The median age at repair was 584.4 months. The distributions of the two-flap palatoplasty, the Furlow palatoplasty, the two-step palatoplasty and our new/modified technique were 43.8%, 11.9%, 1.8% and 42.4%, respectively. Postoperative complications such as the wound dehiscence and the formation of oronasal fistula in soft and hard palates were shown in 23.0% for the traditional techniques. The complication rate was only 5.4% in the new modified technique group which is significantly lower (p<0.001) than in the other groups. The mean durations of the operation (OR 0.95, 95% CI 0.94-0.96) and hospital stay in days (OR 0.85, 95% CI 0.78-0.93) were significantly shorter in the new modified technique group than in the other groups.
Conclusions: The technique presented has been effective, with the good outcomes regarding postoperative complications, and shorter durations of the operation and hospital stays.
