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CTRI Number  CTRI/2024/05/068095 [Registered on: 30/05/2024] Trial Registered Prospectively
Last Modified On: 29/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparison of Rate of Healing of Skin of Mouth With Use of Buccal Fat Pad in Cleft Palate Patients 
Scientific Title of Study   Comparative Evaluation of Rate of Mucosalization of Residual Raw Areas Post Palatoplasty With Use of Buccal Fat Pad in Cleft Palate – A Randomised Controlled Study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Ritesh Chhatwani 
Designation  1st year MDS resident 
Affiliation  MGM Dental College and Hospital Kamothe NAVI MUMBAI 
Address  MGM Dental College and Hospital Kamothe 4th Floor Department of Oral and Maxillofacial Surgery Plot No 1 and 2 Sector 01 Old 18 and 19 Kamothe Navi Mumbai Raigarh MAHARASHTRA 410209 India

Raigarh
MAHARASHTRA
410209
India 
Phone  7972750268  
Fax    
Email  dr.riteshchhatwani@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Adil Gandevivala 
Designation  Reader  
Affiliation  MGM Dental College and Hospital Kamothe 
Address  MGM Dental College and Hospital Kamothe 4th Floor Department of Oral and Maxillofacial Surgery Plot No 1 and 2 Sector 01 Old 18 and 19 Kamothe Navi Mumbai Raigarh MAHARASHTRA 410209 India

Raigarh
MAHARASHTRA
410209
India 
Phone  9096815606  
Fax    
Email  dr.adilg@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Adil Gandevivala 
Designation  Reader  
Affiliation  MGM Dental College and Hospital Kamothe 
Address  MGM Dental College and Hospital Kamothe 4th Floor Department of Oral and Maxillofacial Surgery Plot No 1 and 2 Sector 01 Old 18 and 19 Kamothe Navi Mumbai Raigarh MAHARASHTRA 410209 India

Raigarh
MAHARASHTRA
410209
India 
Phone  9096815606  
Fax    
Email  dr.adilg@gmail.com  
 
Source of Monetary or Material Support  
MGM Dental College and Hospital  
 
Primary Sponsor  
Name  MGM Dental College and Hospital Kamothe navi mumbai 
Address  MGM Dental College and Hospital Kamothe 4th Floor Department of Oral and Maxillofacial Surgery Plot No 1 and 2 Sector 01 Old 18 and 19 Kamothe Navi Mumbai Raigarh MAHARASHTRA 410209 India 
Type of Sponsor  Private hospital/clinic 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Ritesh Chhatwani  MGM Dental Collage and Hospital  MGM Dental College & Hospital Kamothe 4th Floor, Department of Oral & Maxillofacial Surgery, Plot No. 1 & 2, Sector - 01(Old 18 & 19), Kamothe, Navi Mumbai, 410209. Raigarh MAHARASHTRA
Raigarh
MAHARASHTRA 
7972750268

dr.riteshchhatwani@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee MGM Dental College and Hospita  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: Q355||Cleft hard palate with cleft softpalate,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  1 GEL FOAM (ABgel)  ABSORBABLE GELATIN SPONGE will be used to cover residual raw areas of palate and and follow up photographs will be taken on post operation day 7,day 14,day 16,day 18,day 20,day 22,day 24,day 26,day 28 to check for mucosalization and after 6 months to check for fistula formation  
Intervention  use of buccal fat pad to cover residual raw areas of palate post palatoplasty  buccal fat pad will be used to cover residual raw areas of palate post palatoplasty and follow up photographs will be taken on post operation day 7,day 14,day 16,day 18,day 20,day 22,day 24,day 26,day 28 to check for mucosalization and after 6 months to check for fistula formation  
 
Inclusion Criteria  
Age From  12.00 Month(s)
Age To  18.00 Year(s)
Gender  Both 
Details  1) Participants with cleft palate veau’s type I,II,III,IV
2) Participants under age group 12 months to 18 years of age requiring cleft palate surgery
3) Participants with parenteral consent upto 7 years of age, parenteral consent and assent from 7 years to 18 years of age willing to be part of study 
 
ExclusionCriteria 
Details  1) Participants in which buccal fat pad has been previously used.
2) Participants having systemic bleeding disorders 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Alternation 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
rate of mucosalization  7th day, 14th day,16th day,18th day,20th day,22nd day,24th day,26th day,28th day 
 
Secondary Outcome  
Outcome  TimePoints 
incidence of fistula formation  6 months 
incidence of bleeding   0hr,3hrs,6hrs,12hrs,24hrs 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   09/06/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Palatoplasty is surgery of cleft palate patients to reconstruct the altered intraoral anatomy and achieve normal functions. Several surgical techniques have been described for cleft palate, including von Langenbeck, Bardach’s and Furlow’s techniques. The goal of the surgery is to restore normal anatomy, which helps in feeding to prevent nasal regurgitation and prevention of articulation issues secondary to the removal of air through the nose. The techniques used to close the defect may result in bare bony areas on the hard palate after the elevation of mucoperiosteal flaps and their subsequent medial mobilization. The defect lateral to mucoperiosteal flaps closure is sometimes covered with sterile gauze soaked with soft paraffin or tincture of benzoin or are left open for mucosalization by means of secondary intention, which leads to discomfort to the patient.  The defect usually heals by secondary intention and scarring.

Buccal fat pad is one of several encapsulated fat masses in cheek which is highly vascularised and easy to harvest and may be used as flap.

Aim of this study is to evaluate the advantages of using BFP as adjuvant to palatoplasty to cover residual raw area defects created during palatoplasty. 
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