TỔNG QUAN HỆ THỐNG HIỆU QUẢ PHẪU THUẬT ĐÓNG THÔNG MŨI MIỆNG BẰNG VẠT LƯỠI VÀ VẠT CƠ – NIÊM MẠC MÁ

Abstract

Objectives: This systematic review was carried out with the aim of evaluating studies on the effectiveness of tongue flap and buccal myomucosal flap for the closure of palatal fistua in cleft palate patients. Methods: Strategic searching was performed on 2 online databases called Pubmed and Google Scholar. Quality evaluation was conducted through MINORS. Overall analysis was performed using SPSS 20. Results: A total of 41 articles were selected with 909 patients included in the systematic review. The success rates of the tongue flap group and the buccal myomucosal flap group were 89,1% and 88,7%, respectively. The average age of the patients, the mean size of the fistula and the rate of postoperative complications of the tongue flap surgery group were also higher than that of the buccal mucosal flap surgery group. Conclusions: These results show that the tongue flap and the buccal mucosal flap have the same success rate in cleft palate repair if indicated correctly (in terms of age, size and position of the fistula).