212 posters, 10 topics, 5 sessions, 754 authors, 237 institutions
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The AAPS 101st Annual Meeting
29 April – 2 May, 2023 | Chicago, IL
D75
A Comparison Of Vomer Flap Palatoplasty Techniques On Fistula Repair In Bilateral Cleft Lip And Palate: A Single Center 25-year Experience
Poster Presenter
Authors
Collean Trotter, BA, MAT, Dylan G. Choir, BS, Idean Roohani, BS, Sarah Alfeerawi, BS, MS, Pasha Shakoori, MD, DDS, MS, Artur Fahradyan, MD, Jessica A. Lee, MD, William P. Magee III, MD, DDS, Mark M. Urata, MD, DDS, Jeffrey Hammoudeh, MD, DDS
Affiliations
Division of Plastic and Maxillofacial Surgery, Children’s Hospital Los Angeles, Children's Hospital Los Angeles, Division of Plastic and Reconstructive Surgery, Keck School of Medicine, Keck School of Medicine of the University of Southern California
Part of Topic
Craniofacial/Peds
Background
●Bilateral cleft lip and palate (BCLP) accounts for 9% orofacial cleft diagnoses globally
●If left untreated, these anomalies can cause debilitating sequela
●Vomer flaps provide additional soft tissue to establish tension free closure of the hard palate
Objective
●This study aimed to evaluate the impact of vomer flap usage and soft palate repair technique on fistula rates
Methods
●IRB-approved retrospective review of pediatric patients with BCLP undergoing palatoplasty from 2003-2022
●Patients with index operations at an outside institution were excluded
●Patient demographics, palatoplasty technique, fistula prevalence and fistula repair were compared based on vomer flap utilization
●Subset analysis of patients with postoperative fistulas was completed to identify the effect of palatoplasty technique on fistula repair rates
Results
●192 patients with BCLP underwent palatoplasty, of which 172 received vomer flaps
●Patients with vomer flaps experienced higher rates of fistula and fistula repair compared to those without (Table 1)
●Subset analysis of patients with fistulas demonstrated SLR was associated with lower rates of fistula repair compared to Furlow (Table 1)
Conclusion
●Patients with vomer flaps experienced higher rates of postoperative fistula
●In population of patients with fistulas, SLR associated with lower rates of fistula repair
●These results demonstrate a potentially high burden of wide clefts in this population, vomer flaps may have more potential for fistuloplasty prevention when used in combination with SLR