Mufassar Nishat, Ansar Latif, Taheer Fatima, Faiza Irshad, Anila Ansar.
Oronasal Fistula Frequency in Complete Soft Palate Cleft Repair a Cohort Study.
Pak J Med Health Sci Jan ;13(2):293-4.

Aim: To determine the frequency of Oronasal fistula in patients undergoing complete soft palate cleft repair by Von Langenbech palatoplasty. Study Design: Prospective study. Place and duration of study: Department of Plastic Surgery, Bashir Hospital, Sialkot from April 2016 to April 2018. Methods: Patients for repair of soft palate cleft were admitted. Informed consent, both for the purpose of research and surgery was taken. Soft palate clefts were repaired with Von Langenbech palatoplasty. Patients were discharged on second postop day. They were followed up at third week postoperatively. At follow up visit, fistula formation was recorded in a proforma. Data was entered and analysis done by SPSS v 22. Results: Total 75 patients were operated. 50 patients (66.66%) were female and 25 patients (33.33 %) were male. The mean age was 2.7+/- 1.5 years ranging from 9 months to 6 years. Two patients were reported with fistula at the third week follow up which showed the fistula rate of 2 .66 %. Conclusion: The results of this study revealed that Von Langenbech palatoplasty is a better approach for the repair of complete soft palate cleft as it allows bipedicled mucoperiosteal laps to be transposed in midline in a tension free manner.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com