Elsadat, A., El Shaer, W., Abdelhafeez, A., Abdeltawab, A., Emam, S. (2025). Comparative Study Between Furlow Palatoplasty with Buccal Fat Flaps And Two Flaps Palatoplasty (Bardach's Technique) In Cleft Palate Repair.. EKB Journal Management System, 6(3), 266-281. doi: 10.21608/ejmr.2024.282619.1601
Ahmad Mohamed Elsadat; wael Mohamed El Shaer; Abdelhafeez Mohamed Abdelhafeez; Ahmed Rabie Abdeltawab; Seham Anwar Emam. "Comparative Study Between Furlow Palatoplasty with Buccal Fat Flaps And Two Flaps Palatoplasty (Bardach's Technique) In Cleft Palate Repair.". EKB Journal Management System, 6, 3, 2025, 266-281. doi: 10.21608/ejmr.2024.282619.1601
Elsadat, A., El Shaer, W., Abdelhafeez, A., Abdeltawab, A., Emam, S. (2025). 'Comparative Study Between Furlow Palatoplasty with Buccal Fat Flaps And Two Flaps Palatoplasty (Bardach's Technique) In Cleft Palate Repair.', EKB Journal Management System, 6(3), pp. 266-281. doi: 10.21608/ejmr.2024.282619.1601
Elsadat, A., El Shaer, W., Abdelhafeez, A., Abdeltawab, A., Emam, S. Comparative Study Between Furlow Palatoplasty with Buccal Fat Flaps And Two Flaps Palatoplasty (Bardach's Technique) In Cleft Palate Repair.. EKB Journal Management System, 2025; 6(3): 266-281. doi: 10.21608/ejmr.2024.282619.1601
Comparative Study Between Furlow Palatoplasty with Buccal Fat Flaps And Two Flaps Palatoplasty (Bardach's Technique) In Cleft Palate Repair.
Department of General and pediatric surgery, Faculty of Medicine, Beni-Suef University
Abstract
Introduction: Cleft palates are among the frequent craniofacial defects. The most frequent postoperative complication is the formation of an oronasal fistula.. Other complications include VPI , airway obstruction, bleeding and aspiration . Aim of work: This study aiming to evaluate two techniques in the management of cleft palate furlow's technique and bardach's technique , regarding to which technique has less complications , operative time , hospital stay. Methods: This study was conducted from August 2021 to July 2023, and all patients with primary cleft palate, there were 40 patients (20 in each group). Group A received Furlow palatoplasty with buccal fat flaps, while Group B received two flaps palatoplasty. Results: There are no deaths or major life threatening complications.
Group A: complications were in (45%) in our study, oronasal fistulae in four (20%) cases. One case had complete wound dehiscence, two cases (10%) had wound infection, one cases (5%) had Upper airway obstruction and while other case (5%) manifested as reactionary hemorrhage.
In group A : - there is no donor site complications .
Group B: complications were in (30%) cases in our study. Two (10%) cases had oronasal fistulae; two (10%) cases had wound infection at surgical site, one (5%) case had Upper airway obstruction and one (5%) cases had complication of reactionary hemorrhage . Conclusion: Combination of two or more types of repairs can be used in the same case. furlow's technique has the advantage of lengthening the velum and prevents VPI. Two flap palatoplasty is a practical technique that can be combined with Furlow in case of complete clefts especially in those with high palatal index
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