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304402

A trial to improve the outcome of cleft palate repair in pediatric age by using fibrin glue

Article

Last updated: 25 Dec 2024

Subjects

-

Tags

Surgery ·

Abstract

Cleft palate is among the commonest craniofacial abnormality with an incidence of about 1 in every 2000 to 2500 births. Cleft palate repair is a challenging procedure with multiple operations described for the same anomaly. The aim of this study is to improve the outcome of cleft palate repair by using fibrin glue as an adjuvant in the  repair with its effect on lowering postoperative complications. A prospective study was carried on 30 patients for primary cleft palate repair operated upon by double flap palatoplasty with the use of human fibrin glue in the repair. Fibrin glue was injected between the oral and nasal layers of palate and at suture line. Six cases showed postoperative complications, with rate of complication 23.3 %, Three of them (10%) were complicated by oronasal palatal fistula. Two of them (6.6%) were small and closed spontaneously within 2 months postoperatively and the third case (3.3%) was presented primarily by local wound infection and later on had showed an oronasal fistula and needed surgical repair, two cases(6.6%) were complicated by upper airway obstruction immediately postoperative and one case (3.3%) was complicated by reactionary hemorrhage. It was concluded that fibrin glue is an adjuvant that can be used with surgical repair of cleft palate for improving surgical outcome and lowering postoperative complications.

DOI

10.21608/ejmr.2022.108331.1170

Keywords

cleft palate, Fistula, Fibrin glue

Authors

First Name

Ahmad

Last Name

Elsadat

MiddleName

M

Affiliation

General surgery department, Faculty of Medicine, Beni-Suef University, Egypt

Email

dr.ahmadelsadat@gmail.com

City

Cairo

Orcid

-

First Name

Dina

Last Name

Eldahshan

MiddleName

Hassan

Affiliation

Clinical Pathology department, Faculty of Medicine, Beni-Suef University, Egypt

Email

dina.eldahshan@gmail.com

City

Cairo

Orcid

-

First Name

Mohamed

Last Name

Holeil

MiddleName

Korani

Affiliation

Beni-Suef insurance hospital, Beni-Suef, Egypt

Email

mohamedkorani78@gmail.com

City

Beni Suef

Orcid

-

First Name

Mostafa

Last Name

Ibrahim

MiddleName

Fathy

Affiliation

General surgery department, Faculty of Medicine, Beni-Suef University, Egypt

Email

drmostafafathy83@med.bsu.edu.eg

City

Beni Suef

Orcid

0000-0002-6785-8234

First Name

Seham

Last Name

Emam

MiddleName

Anwar

Affiliation

General surgery department, Faculty of Medicine, Beni-Suef University, Egypt

Email

siham.anwar8@gmail.com

City

Beni Suef

Orcid

-

Volume

4

Article Issue

2

Related Issue

40604

Issue Date

2023-04-01

Receive Date

2021-11-28

Publish Date

2023-04-01

Page Start

117

Page End

124

Print ISSN

2682-4396

Online ISSN

2682-440X

Link

https://ejmr.journals.ekb.eg/article_304402.html

Detail API

https://ejmr.journals.ekb.eg/service?article_code=304402

Order

304,402

Type

Original Article

Type Code

1,224

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Research

Publication Link

https://ejmr.journals.ekb.eg/

MainTitle

A trial to improve the outcome of cleft palate repair in pediatric age by using fibrin glue

Details

Type

Article

Created At

25 Dec 2024