The effect of Gauze Dressing use on reduction of Oronasal Fistula Rates following Cleft Palate Repair

Bilgen, Fatma; Ural, Alper; Bekerecioğlu, Mehmet

doi:10.17352/2455-4634.000036

Cited by 1 publication

(2 citation statements)

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“…Cleft palate repair surgery may be followed by challenges like bleeding, respiratory distress, infections, and dehiscence but the most commonly reported post-surgical complication is the formation of oronasal fistula [14]. The incidence of fistula formation after cleft palate repair varies between 5% and 34%.…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of fistula formation after cleft palate repair varies between 5% and 34%. Technical failure resulting from poor surgical technique, tense closure, infections, foreign body irritation, absent multilayer repair, and poor healing contributes to oro-nasal fistula formation [14][15]. According to a study published by GQ Fayyaz, the occurrence of the fistula was almost equal in both the continuous and interrupted suture groups [3].…”

Section: Discussionmentioning

confidence: 99%

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Comparison of the Interrupted and Continuous Suture Techniques for the Closure of Oral and Nasal Mucosal Layers in Cleft Palate Surgery

Ahmed¹,

Afzal²,

Beg³

et al. 2021

Cureus

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BackgroundCleft lip and palate are common congenital craniofacial anomalies, treated conventionally by surgery at the ages of six to 18 months. Mostly, the interrupted suture technique is used to close the nasal and oral layers of the palate. In some studies, the interrupted suture technique was compared with continuous suture techniques for the closure of oral and nasal layers and found that there was less utilization of time and suture materials in the continuous technique. This study was designed to see the outcomes of interrupted versus continuous suture techniques. Materials & methodsA total of 36 patients were included in the study and were divided into two groups according to the type of suturing technique. The time utilized for the repair of the oral and nasal layers of the cleft palate, the number of suture packs utilized, and the incidence of fistula formation were noted and compared between the two groups. Out of 36 patients, 17 were included in group A (operated by interrupted techniques), and 19 were included in group B (operated by the continuous technique). ResultsThe mean time taken to close nasal layer in Group A was 18.12 ± 1.16 minutes and in Group B was 8.37 ± 0.89 minutes (p-value < 0.001), whereas for oral layer closure, it was 14.00 ± 1.17 minutes in group A and 6.00 ± 0.57 minutes in group B (p-value < 0.001). The average usage was 2.26 ± 0.45 suture packs for repair with the continuous technique and 4.00 ± 0.35 suture packs when repaired via interrupted stitches. There was no difference noted in postoperative outcomes in both groups in terms of postoperative fistula and wound dehiscence. ConclusionA continuous suture technique for closing the oral and nasal layers in patients with cleft palate is recommended, as it is more beneficial in terms of time, cost-effectiveness, and utilization of suture material.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%