Frequency of Oro-Nasal Fistula After Bardach Repair in Cleft Palate Patients

Background: Cleft lip and palate are common craniofacial defects requiring complex surgical repair. Oro-nasal fistulae are a known complication of cleft palate surgery, particularly using the Bardach technique. This study aims to determine the incidence of these fistulae following cleft palate repair using this method. Methods: A prospective study was conducted from August 2020 to February 2021 on 138 children undergoing primary cleft palate repair using the Bardach technique. Inclusion criteria included age between 6 and 24 months, while patients with previous cleft surgery or other craniofacial anomalies were excluded. Results: The study included 138 patients aged 6-24 months undergoing cleft palate repair. Oro-nasal fistula developed in 11% of patients, with a higher incidence in males and those with complete cleft palate. No significant difference in fistula rate was found between age groups. Conclusion: Oro-nasal fistula developed in 11% of cases, male patients with complete cleft palate showing higher incidence. Multilayer repairs were successfully provided by the two-flap palatoplasty (Bardach Technique).