Repair of Oronasal Fistula Using Interpositional Buccal Pad of Fat as a Free Graft in a Cleft Palate Patient

Tanta University

Status: Completed

Conditions: Cleft Palate

Treatments: Procedure: closure of oro-nasal fistula in cleft palate patients

Study type: Interventional

Funder types: Other

Identifiers

NCT06807450

202014

Details and patient eligibility

About

36 cleft palate patients had residual oronasal fistula included in this study divided randomly to two groups group I (control group): the fistula was repaired using two layers (oral and nasal layers) group II (study group): The fistula was repaired using two layers (oral and nasal layers ) with interpositional free buccal pad of fat graft between two layers

Full description

36 cleft palate patients had residual oronasal fistula included in this study devided randomly to two groups group I (control group):the fistula was repaired using two layers nasal layer:closed by turn-in flaps, taken from around the margins of the fistula by making incision around margins of distance slightly larger than half of diameter of fistula bilaterally, then closed by inverted interrupted suture Vicry l 4/0.

oral layer:(Bardach two-flap palatoplasty) was used and raised on opposite sides of the cleft palate and brought together in the midline to create a continuous palate

group II (study group): The fistula was repaired using two layers (oral and nasal layers ) as group I with buccal pad of fat free graft was taken through veastibular incision at zygomatic buttress then blunt dissection to get buccal fat which was released from its pedicle and inserted between oral and nasal layers.

Enrollment: 36 patients

Sex: All

Ages: 5 to 20 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• cleft palate patients with oro-nasal fistula fistula in hard palate

Exclusion criteria

• syndromatic patients

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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36 participants in 2 patient groups

repair of oro-nasal fistula using two layers

Experimental group

Description:

the fistula will be closed using two layers nasal layer by turning over the fistula margin and closure with 4/0 vicryl oral layer using two flap palatoplasty with relaxing incision around the alveolar margin and approximate at the midline using 4/0 vicryl

Treatment:

Procedure: closure of oro-nasal fistula in cleft palate patients

repair of oro-nasal fistula using two layers with interpositional buccal pad of fat free graft

Experimental group

Description:

the fistula will be closed using two layers nasal layer by turning over the fistula margin and closure with 4/0 vicryl oral layer using two flap palatoplasty with relaxing incision around the alveolar margin and approximate at the midline using 4/0 vicryl then a free graft of buccal pad of fat will be obtained and inserted between the two layers

Treatment:

Procedure: closure of oro-nasal fistula in cleft palate patients