Background: The main goal in the management of patients with cleft palate is anatomical closure of the defect, normal speech development, maxillofacial growth, and hearing without any complications. Cleft palate repair can be done using a variety of surgical techniques.
one-stage repair is one of the commonest.
Aim of work: The objective of this study is to illustrate the frequency of fistula and fistula predictors in the closure of complete cleft palate with radical palate muscle dissection in a single-stage
Patients and methods: A prospective cohort study conducted on 20 patients who underwent cleft palate closure as one-stage repair in children aged between 9 months to 5 years old.
Results: Twenty patients had a one-stage cleft palate repair with radical muscle dissection. The overall occurrence of fistula formation was zero.
Conclusion: Anatomical repair of levator vile palatine muscle with complete dissection & releasing it from its abnormal insertion in a defect of 10-12 mm could be an important factor for limitation of fistulae incidence after cleft palate repair.