A comparison result of primary cleft palate repair by various techniques
- VernacularTitle:Тагнайн төрөлхийн сэтэрхийн мэс заслын аргуудын харьцуулсан үр дүн
- Author:
Erdenetsogt J
1
,
2
;
Ayanga G
2
;
Batbayar B
1
;
Khentii L
1
Author Information
1. Mongolian National University of Medical Sciences
2. National Center for Maternal and Child Health
- Publication Type:Journal Article
- Keywords:
Cleft palate;
velopharyngeal insufficiency;
primary palatoplasty;
nasopharyngeoscopy
- From:Mongolian Medical Sciences
2021;198(4):20-26
- CountryMongolia
- Language:Mongolian
-
Abstract:
Background:The main purpose of primary cleft palate repair is to reconstruct anatomical structure with minimal
impairment of maxillary growth and normalize velopharyngeal function and feeding process. One of
the most common complications after the primary cleft palate repair is velopharyngeal insufficiency,
which leads to the subsequent surgery. The velopharyngeal function assessment characterizes
speech development in children. Researches noted that velopharyngeal insufficiency causes in
5-86% after primary cleft palate repair. Therefore, it is essential to choose an adequate primary
surgical method for each particular type of cleft palate.
Objective:To compare velopharyngeal function using nasopharyngoscopy after primary CP repair
Materials and Methods:The patients who with congenital cleft palate and, underwent primary cleft palate repair in the
Department of Maxillo-facial surgery of the National Centre for Maternal and Child Health and had
velopharyngeal function assessment were recruited to the study. Patients with wound dehiscence
and oronasal fistula postoperatively were excluded from the study.
Cleft palate was classified according to the Veau system and Golding-Kushner scale of
nasopharyngoscopy was used to assess patient’s velopharyngeal function in order to associate with
cleft types and the primary palatoplasty techniques. Pearson’s chi-squared analysis and Fisher exact
test were used for statistical analysis.
Results:A total of 335 patients were included in the study. The mean age at primary palate repair was
22.9±13.6 months. There were 56, 42, 177, and 60 patients with Veau-I type, Veau-II type, Veau-III
type and Veau- IV type respectively, whereas for primary palatoplasty 65 patients underwent Furlow
technique, 148 patients – Mongolian technique, 108 patients – Two flap technique, 34 patients – Von
Langenbeck technique.
Nasopharyngoscopy assessment of adequate velopharyngeal function was as followed as by “Furlow”
technique in 89.4% cases, ”Mongolian” technique in 62.2% cases but by “Two flap” technique only in
48.1% and Von Langenbeck technique in 47.1% cases.
Conclusion:The Furlow and Mongolian techniques were superior for maintaining velopharyngeal function after
primary palatoplasty.
- Full text:2021-198(4)-20-26.pdf
