الفهرس 
Evaluation of buccinator flap versus bardach two flaps palatoplasty on fistulation rate in primary repair of cleft palate
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Abstract
Aim : The aim of the study was to evaluate the use of buccinator flap in primary repair of cleft palate on fistulation rate.The goal was to decrease fistulation rate.Methodology: We studied 46 patients in two groups with complete wide cleft palate the study group patients were repaired by buccinator myomucosal flap during primary repair and the control group patients were repaired by bardach two flap palatoplasty during primary repair. All patients evaluated at 1 week,3,6 months interval to detect fistulation and measure palatal length by taking impressions and pouring casts to measure palatal length from anterior reference point(incisive foramen) to posterior reference point(uvula) and calculation of change in palatal length.Results : fistulation rate was 1 case out of the 23 cases of the study group and 4 cases out of 23 cases of control group this difference was statistically significant, change in palatal length in study group showed increase in palatal length that ranged from 5.5-8.10 mm at immediate postoperative measure and from 7.5-12 mm at 6 months interval while in control group change in palatal length showed decrease in some cases and increase in other cases with range from -1.5to +2.8 mm. Conclusion : the use of buccinator flap during primary repair of cleft palate decrease fistulation rate and increase palatal length decreasing risk of developing VPI