SFCP-043 – Chirurgie plastique – Fentes labio-palatines : qualité de vie (VSP-A) patients et parents

François-Fiquet, C.; Dupouy, M.; Poli-Mérol, M.L.; Daoud, S.

doi:10.1016/s0929-693x(08)71995-x

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“…They result from failure of the palatal processes of the maxillary buds and the nasal septum to merge [1]. The family of newborn babies with this abnormality first encountered social issues, followed by dysfunction affecting their diet, and the normal development of language [2]. The therapeutic management of these children from their birth to the end of their adolescence is multidisciplinary and includes many specialties.…”

Section: Introductionmentioning

confidence: 99%

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

Diallo¹,

Diallo²,

Conde³

et al. 2021

OJST

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Introduction: Cleft palate (CP) is a congenital dysmorphosis that results 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. Materials and Method: This was a retrospective study that took place over a period of 4 years (from January 1 st , 2015 to December 31 th , 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 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. Four years after surgery, the patients were recalled for an evaluation of the anatomical and functional results. Results: 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 months and 17 years. Females were the most affected, with 61.54% of cases 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 patients. Four (4) years after the surgeries, 12 patients were reevaluated (92.30%), among them one case (8.33%) of fistula complication was noted. The mobility of the veil and the phonation were good in 85.71% and 60% respectively. Articular disorders with nasonation were found in 2 patients (16.67%). Swallowing was normal in 85.72% of cases. Conclusion: The modified Furlow

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Section: Introductionmentioning

confidence: 99%