xRead - Treatment of Cleft Lip and Cleft Palate (May 2025)

1month 4

4

Outcomes Follow-up Level BFP Compared against 6months 4

2b

Evidence

(continued)

taken at

5 years

post-op

follow-up visit

6months or more (no range)

Measures

sagittal length in upper arch model at 5 years of age ( P < .05)

Higher ONF rate in standard Furlow (22.4%) vs. modi fi ed

against none in BFP group. All statistically insigni fi cant.

fi stulas (<3 mm) in non-BFP. Two patients (10%) required surgical fi stula

cephalometry at 5 years of age ( P < .05), better transversal width and

non-BFP group developed a fi stula vs. none in BFP group ( P = .035).

Additionally, cleft width ratio was associated with palatal fi stula formation ( P = .036).

No differences in bleeding (5% in each group). One patient (5%) suffered dislodgement

of gauze with severe airway compromise in non-BFP

group. Two patients (10%) presented protrusion of

BFP, one required additional procedure.

(CHOP) Furlow (3.0%). No complications related to utilization of BFP.

closure in non-BFP group,

Better SNA, SNB, ANB in

As added layer in hard-soft palate junction (n = 36) None (n = 29) Four patients (6.15%) in

Higher incidence of minor

ALL Standard (n = 49) vs.

benzoin impregned gauze (n = 20)

modi fi ed Furlow

Iodoform gauze in relaxing incisions (n = 15)

palatoplasty (n = 65)

Synthetic hemostatic gel or tincture

Intervention

In relaxing incisions (n = 20)

(n = 15)

palatoplasty + BFP

palatoplasty, Dorrance fl ap

Not speci fi ed In relaxing incisions

Furlow + BFP vs.

modi fi ed

Palate repair surgical

technique

and Furlow

palatoplasty

Primary palate repair Rauf, 2012 25 Retrospective comparative study 40 Cleft palate Push-back palatoplasty

Furlow

Push-back

repair at 3-4 years of age

palate

unilateral and

bilateral cleft lip/ palate

30 Complete cleft palate,

65 Non-syndromic cleft

114 Isolated cleft palate,

controlled trial

comparative study

Horswell, 2020 80 Outcome comparative study

Table 2. Outcomes, Follow-Up and Evidence Level in Comparative Studies. Study Study design n Inclusion criteria

Zhang, 2015 38 Randomized

Kim, 2020 30 Retrospective

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