Text

The Conventional Two-Flap Palatoplasty Versus Modified Two-Flap Palatoplasty with Leaving Lateral Periosteum and Honey Application

Background. The conventional two-flap palatoplasty will result in lateral defect without any periosteal coverage. It makes the epithelialization of the lateral defect takes longer time ( 3- 4 weeks). In this study, the authors hypothesized that the modified technique to the two-flap palatoplasty by not elevating the lateral part of the periosteum with the flap, and then apply honey to the lateral defect possibly resulting faster epithelialization rate. Methods. Thirty eight patients with cleft palate will be divided into two groups with intervention, modified two-flap palatoplasty technique leaving lateral periosteum with application honey pack in treatment group and conventional two-flap palatoplasty in control. We observe the epithelialization rate every two days after came out from hospital until full healing is achieved. We also documentate some surgical-related parameters such as: the length of operation, intraoperative blood loss, postoperative pain scale, hospitalization period, and the complications. Result. This study showed significant difference of the epithelialization rate between the group treated by the modified technique 2.4 (2.0;3.0) mm/day with the conventional ones 0.7 (0.6;0.8) mm/day (p