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All Journal Jurnal Plastik Rekonstruksi
Satrio, Kenny
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Civil Engineering, Building, Construction & Architecture Other

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Postoperative Oronasal Fistula Formation Following The Furlow and Other Three Palatoplasty Techniques: A Systematic Review and Meta-Analysis Sari, Felicia Puspita; Satrio, Kenny; Samsarga, Gede Wara
Jurnal Plastik Rekonstruksi Vol. 11 No. 1 (2024): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25251/vdfgb389

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.
Effect of NAM on Nasal Symmetry and Proportions in Patients with UCLP: A Systematic Review Puspita Sari, Felicia; Samsarga, Gede Wara; Satrio, Kenny; Putra Johansyah, Theodorus Kevin; Jonathan, Jeremy; Andhika Yogiswara, Made Dwi
Jurnal Plastik Rekonstruksi Vol. 9 No. 2 (2022): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v9i2.341

Abstract

Introduction : Nasal reconstruction presents a challenge in case of patients with unilateral cleft lip and palate (UCLP). Correction of the nasal deformity to achieve a symmetrical nose from the deficient columella and malformed nasal cartilage in cleft patients presents a great challenge. Nasoalveolar molding (NAM) was developed as a neoadjuvant therapy for patients with cleft lip and palate to improve nasal deformity before surgical intervention. The aim of this systematic review was to understand more about the effect of NAM on nasal symmetry and proportions in patients with UCLP. Method : We searched for manuscripts involving patients with UCLP who received NAM prior to cleft lip repair. Electronic literature searching of the PubMed, Scopus, Cochrane and Google scholar databases was conducted for the studies that had been published up to December 2021. Result : Presurgical NAM demonstrated benefits in nasolabial form when compared with patients who did not receive any presurgical infant orthopaedic appliances (PSIO). The use of presurgical NAM helps to achieve favourable reshaping of the nose and decrease the severity of the initial cleft deformity, resulting in improvement on nasolabial form. These changes lead to improved nasal symmetry and proportions in UCLP patients. Conclusion: The preponderance of evidence in this review suggests that presurgical NAM is a beneficial adjuvant therapy for nasal deformity correction and helps achieve nasal symmetry in patients with UCLP. However, there is insufficient evidence to conclude whether presurgical NAM produces these benefits at the time of nasal maturity.
Postoperative Oronasal Fistula Formation Following The Furlow and Other Three Palatoplasty Techniques: A Systematic Review and Meta-Analysis Sari, Felicia Puspita; Satrio, Kenny; Samsarga, Gede Wara
Jurnal Plastik Rekonstruksi Vol. 11 No. 1 (2024): (2024) Jurnal Plastik Rekonstruksi
Publisher : The Lingkar Studi Bedah Plastik Foundation and is affiliated with the Department of Plastic Surgery, Faculty of Medicine, Universitas Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v11i1.368

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.
Co-Authors Andhika Yogiswara, Made Dwi Jonathan, Jeremy Puspita Sari, Felicia Putra Johansyah, Theodorus Kevin Samsarga, Gede Wara Sari, Felicia Puspita