Characteristics of Complications of Uranoplasty in Children With Congenital Cleft Palate

Abstract

Objectives. Reconstructive surgery to correct a congenital cleft palate is called uranoplasty. In the early postoperative period after uranoplasty, surgeons often encounter several problems: suture dehiscence, inflammation of the wound edges and the addition of a secondary infection to the wound process. The development of complications after uranoplasty is influenced by the general condition of the child, somatic and dental diseases. It is relevant and important to study the outcomes of uranoplasty in children with congenital cleft palate and evaluate the results for postoperative complications. Purpose. To analyze the outcomes of uranoplasty in children with congenital cleft palate, to determine the frequency and types of postoperative complications. Methodology. The article presents clinical examination data of 273 children with congenital cleft palate after uranoplasty over the past 5 years. Results. In children aged 2–5 years with congenital cleft palate after uranoplasty, complications were noted in 19.78% of cases, among which velopharyngeal insufficiency was present in 44.44% of operated children, a short cicatricial palate was noted in 35.19% of children, perforated 20.37% of examined children have a palate defect. Conclusions. After uranoplasty, complications arise as a result of the inflammatory process in the wound area. The standard protocol for patient management after uranoplasty involves the administration of an antibacterial drug intraoperatively. In order to increase the effectiveness of the prevention of postoperative complications after uranoplasty in children with congenital cleft palate, it is necessary to develop and implement therapeutic measures aimed at reducing the inflammatory process in the wound area and the formation of an elastic scar.