Published : 6 March 2024

Postoperative Oronasal Fistula Formation Following The Furlow and Other Three Palatoplasty Techniques: A Systematic Review and Meta-Analysis

  • Felicia Puspita Sari
  • Kenny Satrio
  • Gede Wara Samsarga

Volume 11, Issue 1, (2024) Jurnal Plastik Rekonstruksi | Pages : 14-21

DOI: 10.14228/jprjournal.v11i1.368   Reader : 8 times PDF Download : 3 times

Abstract

Introduction : The technique for repairing a cleft palate depends on the length and width of the palate and the type of cleft palate according to the Veau classification. The most common surgical techniques include the Furlow double opposing Z-plasty, the Bardach palatoplasty, the von Langenbeck palatoplasty, and the V-Y pushback. One of the most frequent complications after cleft palate repair is an oronasal fistula (ONF). This article aimed to compare the risk of postoperative ONF formation following cleft palate repair.
Method : We searched for manuscripts involving patients with ONF formation following the Furlow, Bardach, von Langenbeck, and V-Y pushback palatoplasty. Electronic literature searching of the PubMed, Scopus, and Cochrane databases was conducted for the studies published up to November 2022.
Result: The meta-analysis used 17 studies, including the analysis of 3,207 repaired cleft palates. The Furlow technique was associated with a statistically lower risk of ONF formation when compared to the von Langenbeck and V-Y pushback techniques (RR=0.06[0.43-0.840],p<0.01 and RR=0.30[0.15-0.62],p<0.01 respectively). There were no statistically significant differences regarding ONF formation between the Furlow technique and the Bardach technique (RR=1.45[0.48-0.43],p=0.51).
Conclusion: The Furlow technique is associated with a lower risk of ONF compared to the von Langenbeck and V-Y pushback techniques. There were no statistically significant differences in ONF formation between the Furlow and Bardach techniques.

Data Availability

All data generated during this study are included in this published article [and its supplementary information files].

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Keywords

  • Cleft palate
  • Surgical procedures
  • Palatoplasty
  • Postoperative complications
  • Fistula

Author Information

Felicia Puspita Sari

Cahya Kawaluyan Hospital Bandung, Indonesia.

Email: feliciapuspitasari@gmail.com

Kenny Satrio

Abdi Waluyo Hospital Jakarta, Indonesia.

Email: kennysatrio97@gmail.com

Gede Wara Samsarga

Plastic Reconstruction Udayana University Hospital, Denpasar, Bali, Indonesia.

Email: warasamsarga@unud.ac.id

Article History

Submitted : 3 January 2025
Revised : 3 January 2025
Published : 6 March 2024

How to Cite This

Sari, F. P., Satrio, K., & Samsarga, G. W. (2024). Postoperative Oronasal Fistula Formation Following The Furlow and Other Three Palatoplasty Techniques: A Systematic Review and Meta-Analysis. Jurnal Plastik Rekonstruksi, 11(1), 14–21. https://doi.org/10.14228/jprjournal.v11i1.368

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