Effect of Modified Furlow Vs Two-Flap Technique on Eustachian Tube Function | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 9, Volume 95, Issue 1, April 2024, Pages 1323-1328 PDF (327.55 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2024.348718 | ||
| Abstract | ||
| Background: One of the most common congenital defects of the face is cleft palate (CP). A middle ear issue nearly always affects children who have cleft palates. The way that palatoplasty is performed has a significant impact on how well middle ear function is restored after CP correction. Objective: This study aimed to assess the significance of modified Furlow vs two-flaps technique on Eustachian tube (ET) dysfunction. Patients and methods: Seventy two cleft palate patients were divided into 2 groups: Group1 included 42 patients done by modified Furlow Z-plasty operation. Group 2 included 30 patients done by two flaps palatoplasty. Pre- and post-operative ear evaluation done at 1, 3,6,12 months. Results: Repair of cleft palate leading to direct improvement of ET dysfunction improvement ear function. Modified Furlow showed early improvement at 3 months post-operative of middle ear function (p value 0.004), but had no superiority after one year over two flaps Palato-plasty. Conclusion: The two procedures showed significant effect as regards decreasing severity of ET function and middle ear affection. Thus, supporting conservative management of middle ear effusion instead of prophylactic tube insertion. | ||
| Keywords | ||
| Furlow vs two-flap technique; CP; ET | ||
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