Comparison of the Outcomes of Surgical Repair of Cleft Palate Performed by Modified Von Langenbeck and Bardach (Two-Flap Palatoplasty) Methods.

IF 0.9 Q3 SURGERY World Journal of Plastic Surgery Pub Date : 2023-01-01 DOI:10.61186/wjps.12.3.94
Mehran Peyvasteh, Shahnam Askarpour, Negin Moradi, Adel Mansouri
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Abstract

Background: Cleft lip and cleft palate are one of the most common congenital craniofacial abnormalities in the skull and face. We aimed to investigate the prevalence of complications after primary cleft palate repair surgery, performed on patients referred to a children's hospital, and to use the information and results obtained from it to reduce the complications and improve the results of these surgeries.

Methods: In this cross-sectional-analytical study, using a census sampling method, the medical records of 94 consecutive cleft palate patients treated in Abuzar Hospital in Ahvaz, southern Iran, in the years 2019 to 2021 were studied. The rate of postoperative complications during the first week in terms of wound opening and flap necrosis and one month later in terms of fistula formation after surgery were also extracted from the files.

Results: Ninety-four patients with congenital cleft palate (57.4% male and 42.6% female) were enrolled. The gap width in all studied patients was 14 ± 5 mm. The frequency of complications of surgical wound opening, flap necrosis, oronasal fistula and hypernasality in von Langenbeck group was 9.5%, 0.15% and 28.1% respectively, and in Bardach group was 9.5 %, 15% and 33.3% respectively.

Conclusion: There were no significant differences between the two surgical methods in terms of postoperative complications. Besides, what is important in choosing a surgical method is the patient's clinical condition, the surgeon's experience and skill, and his choice.

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采用改良冯-朗根贝克法和巴达赫法(两瓣腭成形术)进行腭裂手术修复的疗效比较。
背景:唇裂和腭裂是头颅和面部最常见的先天性颅面畸形之一。我们的目的是调查转诊到一家儿童医院的患者在接受腭裂修复手术后并发症的发生率,并利用从中获得的信息和结果来减少并发症,提高这些手术的效果:在这项横断面分析研究中,研究人员采用普查抽样方法,对伊朗南部阿瓦士市阿布扎尔医院在 2019 年至 2021 年期间连续收治的 94 名腭裂患者的病历进行了研究。此外,还从病历中提取了术后第一周伤口裂开和皮瓣坏死以及一个月后瘘管形成等术后并发症的发生率:共有94名先天性腭裂患者(57.4%为男性,42.6%为女性)接受了手术。所有患者的缝隙宽度为 14 ± 5 毫米。冯-朗根贝克组患者出现手术伤口裂开、皮瓣坏死、口鼻瘘和鼻孔过大等并发症的频率分别为9.5%、0.15%和28.1%,而巴达赫组患者出现这些并发症的频率分别为9.5%、15%和33.3%:两种手术方法在术后并发症方面没有明显差异。此外,在选择手术方法时,重要的是病人的临床情况、外科医生的经验和技术以及他的选择。
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