The Impact of Different Flap Design on Post-Operative Recovery in Cleft Palata Surgery
DOI:
https://doi.org/10.65293/jbkcd.v2i01.33Keywords:
Cleft Palate Surgery, Flap Design, Postoperative Recovery, Bardach, Furlow, Von Langenbeck, Complications, Speech OutcomesAbstract
Objective: This study evaluated how different flap designs—Bardach, Furlow, and Von Langenbeck—affect recovery, complications, and surgical outcomes after cleft palate repair.
Study Design: Cross Sectional Study
Place and Duration of Study: Department of Oral and Maxillofacial Surgery, Ayub College of Dentistry, Abbottabad, Khyber Pakhtunkhwa, Pakistan; from January 2023 to December 2023.
Materials and Methods: Sixty patients undergoing primary cleft palate repair were equally allocated into three groups. Intraoperative factors, postoperative recovery, and complications were assessed. Logistic regression identified predictors of recovery. Significance was set at p < 0.05.
Results: The Furlow technique was associated with greater blood loss (65 ± 12 mL, p = 0.035), longer operative time (108 ± 10 min, p = 0.042), and prolonged hospitalization (4.5 ± 1.2 days, p = 0.049). However, complication rates—including wound dehiscence, fistula, infection, and speech impairment—did not differ significantly among groups (p > 0.05). Regression analysis identified ASA score, preoperative hemoglobin, blood loss, operative time, and flap design as significant predictors of postoperative recovery.
Conclusion: All three flap techniques provided comparable complication and speech outcomes, though the Furlow procedure required longer surgery and was linked with higher blood loss. Careful patient selection and optimized perioperative care are critical to success. Larger studies with extended follow-up are recommended.
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