Evaluation of Results of the Furlow’s Modified Technique in the Management of Cleft Palate in the Teaching Hospital of Conakry

• 作者: Oumar Raphiou Diallo Alpha Oumar Diallo Alhassane Conde Thierno Abdourahmane Balde Karamoko Alpha Diallo Gary Parker
• 来源期刊: 口腔学期刊(英文)
• 学科: 数学
• 关键词: Cleft Palate Furlow EVALUATION
• 年，卷（期）: 2021,（1）
• 页码范围: 25-36
• 页数: 12页
• 分类号: O17

摘要

<b><span>Introduction:</span></b><span> Cleft palate (CP) is a congenital dysmorphosis that results</span><span> from a failure of the palatal processes of the maxillary buds and nasal septum to merge. The objectives of this study were to determine the frequency of complications of the modified Furlow technique and to evaluate its anatomical and functional outcomes.</span><span> </span><b><span>Materials and Method:</span></b><span> </span><span>This was a retrospective study that took place over a period of 4 years (from January 1</span>^{<span style="vertical-align:super;">st</span>}<span>, 2015 to December 31</span>^{<span style="vertical-align:super;">th</span>}<span>, 2018) in the Department of Odontostomatology and Maxillofacial Surgery at the National Hospital of Donka (Conakry, Guinea). Data retrieval consisted of records from patients operated on for cleft palate according to Furlow’s</span><span> </span><span>modified technique only. The operative technique consisted of marginal incisions of the cleft according to the technique of the double Z-plasty of Furlow. Subsequently, the defect created between the 2 flaps and the anterior edge of the cleft was filled by two fat masses of Bichat sutured to each other with Vicryl 3-0.</span><span> </span><span>Four years after surgery, the patients were recalled for an evaluation of the anatomical and functional results.</span><span> </span><b><span>Results:</span></b><span> 13 patients underwent surgical loading according to the modified Furlow technique. The average age of the patients was 6.9 years with an age range of 7 </span><span>months and 17 years. Females were the most affected, with 61.54% of cases</span><span> and a sex ratio of 0.62. The primary repair rate was 84.61% of cases. Immediate operative follow-up was simple with epithelialization of the flaps in all </span><span>patients. Four (4) years after the surgeries, 12 patients were reevaluated</span><span> (92.30%), among them one case (8.33%) of fistula complication was