Fistula rate for modified “Mongolian technique” for congenital cleft palate repair

Ayanga, G.; Erdenetsogt, J.; Bayasgalan, R; Tserendulam, D.; Erdenesaikhan, M.

doi:10.1016/j.ijom.2011.07.540

Cited by 1 publication

(2 citation statements)

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“…There are some publications about the result of the “Mongolian” technique. Ayanga,[ 2 7 ] reported a lower risk of postoperative complications of wound dehiscence and oronasal fistula formation, and the author’s previous study showed VPI rate was low (33.4%–38.1%) for Veau-III and IV types of cleft. [ 20 ]…”

Section: Discussionmentioning

confidence: 99%

“…In 2012, Ayanga reported the patient’s mean age of case reviewed in their study was 6 years, and 87% of all patients were operated at an age later than 18 months. [ 2 ] In 2017, Erdenetsogt reported the patient’s mean age of case reviewed in their study was 24 months, and 62% of all reviewed patients were delayed. [ 20 ] However, in this study, the majority of patients (54.5%) underwent surgery before 18 months, which is a result of the improved diagnostic, treatment, and monitoring system in our country.…”

Section: Discussionmentioning

confidence: 99%

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Primary Palatoplasty: A Comparison of Results by Various Techniques - A Retrospective Study

Jargaldavaa

Gongorjav

Badral³

et al. 2022

Annals of Maxillofacial Surgery

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Introduction: To identify a better method for primary cleft palate (CP) repairs with respect to velopharyngeal function. Materials and Methods: A retrospective, longitudinal review of medical charts of patients with congenital CP who underwent four different techniques of palatoplasty, performed by three different surgeons in the Department of Maxillofacial Surgery of the National Center for Maternal and Child Health. Nasopharyngoscopy (NPS) was used for velopharyngeal function evaluation. CP was classified according to the Veau system and the “Golding-Kushner” scale for NPS results was used for assessing the patient’s velopharyngeal function and its association with cleft types and the primary palatoplasty techniques. Pearson’s Chi-square analysis and binary logistic regression were used for statistical analysis. Results: A total of 335 patients were included in the study. The mean age at primary palate repair was 22.9 ± 13.6 months. There were 56, 42, 177, and 60 patients with Veau-I, Veau-II, Veau-III, and Veau-IV types, respectively, whereas for primary palatoplasty 65 patients underwent Furlow, 148 patients – Mongolian, 108 patients – two flap, 34 patients – von Langenbeck technique. NPS assessment of adequate velopharyngeal function was followed by Furlow’s technique in 89.4% of cases, Mongolian technique in 62.2% of cases but by “two flap” only in 48.1% and von Langenbeck in 47.1% of cases. Discussion: The Furlow and Mongolian techniques were superior for maintaining velopharyngeal function after primary palatoplasty.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%