Limited Incision With Thorough Elevation Palatoplasty

Baek, Rong Min; Koo, Youn Taek; Kim, Baek Kyu

doi:10.1097/sap.0b013e31829565d8

Cited by 3 publications

(3 citation statements)

References 4 publications

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“…3). Compared to the results in our institute [12,13], patients with CP or SMCP who underwent palatoplasty showed unsatisfactory results, such as persistent hypernasality, which was also statistically significant (Table 3). Based on these results, it is assumed that the postoperative results of patients with KS are not satisfactory compared to patients who had similar degrees of severity in preoperative findings.…”

Section: Preoperative Evaluation and Determination Of Surgical Methodsmentioning

confidence: 72%

“…As per our modification, the extent of muscular dissection was greater than that described by Furlow, which released all abnormal insertions along the posterior border of the hard palate [12]. LITE is a modified two-flap palatoplasty that limits the incision at the anterior hard palate and elevates the movable palatal flap with thorough dissection over the entire palate [13]. DOZ or LITE was considered to be ineffective when the results of speech evaluation and nasopharyngoscopy showed that the palatal muscle was incompetent, and PPF was performed to create an anatomical barrier between the oral cavity and the nasal cavity to reduce nasal emission [15].…”

Section: Palatoplasty Methodsmentioning

confidence: 92%

“…Postoperative results were assessed by speech evaluation which was performed by the speech pathologist (Ahn) and the presence of velopharyngeal insufficiency (VPI), including remaining hypernasality (grade > 1 by Henningsson rating system) was evaluated. To investigate the correlation between postoperative speech outcomes and the presence of KS, statistical analysis using Fisher's exact test was performed with patients who had previously operated nonsyndromic CP and SCMP in our institute [12,13]. A pvalue ≤ 0.05 was considered statistically significant.…”

Section: Methodsmentioning

confidence: 99%

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Characteristics and surgical outcomes of cleft palate in kabuki syndrome: a case series of 11 patients

Kim

Kang

et al. 2021

BMC Pediatr

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Objective A significant number of patients with KS have cleft palate (CP) or submucous cleft palate (SMCP) and show delayed speech development. However, few reports have discussed the characteristics of CP in KS and the outcomes of postoperative speech development. The purpose of this study was to investigate the characteristics and surgical outcomes of CP in patients with KS, and to discuss the importance of the diagnosis of CP or SMCP. Methods We conducted a retrospective study on patients with clinically diagnosed KS who underwent palatoplasty. Clinical and surgical data were collected from patients’ medical records, and velopharyngeal function was evaluated using nasopharyngoscopy and speech analysis. Results In 11 cases, 5 patients had CP (45.5%) and 6 had SMCP (54.5%). Four patients who were genetically tested had a pathogenic variant of KMT2D. Seven of nine patients (77.8%) who underwent conventional palatoplasty showed velopharyngeal insufficiency and hypernasality. All patients who underwent pharyngeal flap surgery achieved velopharyngeal competency. Statistical analysis revealed a statistically significant difference in postoperative results between non-syndromic and KS patients. Conclusion Patients with SMCP may be more common than previously reported. The results showed that it is difficult to produce optimal results with conventional palatoplasty; therefore, pharyngeal flap surgery should be considered as a treatment to obtain favorable results. Pharyngeal flap surgery in patients with KS should be carefully designed based on speech evaluation and nasopharyngoscopic findings.

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Section: Preoperative Evaluation and Determination Of Surgical Methodsmentioning

confidence: 72%

Section: Palatoplasty Methodsmentioning

confidence: 92%

Section: Methodsmentioning

confidence: 99%

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Characteristics and surgical outcomes of cleft palate in kabuki syndrome: a case series of 11 patients

Kim

Kang

et al. 2021

BMC Pediatr

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The Protruding Premaxilla

Bennett

Hendricks

Thurston

et al. 2017

Journal of Craniofacial Surgery

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On the Frequency of Oronasal Fistulation After Primary Cleft Palate Repair

Tache

Mommaerts

2019

The Cleft Palate-Craniofacial Journal

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Objective: The aims of the study were to assess the postoperative oronasal fistula rate after 1-stage and 2-stage cleft palate repair and identify risk factors associated with its development. Design: Systematic review. Setting: Various primary cleft and craniofacial centers in the world. Patients, Participants: Syndromic and nonsyndromic cleft lip, alveolus, and palate patients who had undergone primary cleft palate surgery. Intervention: Assessment of oronasal fistula frequency and correlation with staging, timing, and technique of repair, gender, and Veau type. The results obtained in this systematic review were compared with those in previous reports. Outcome: The main outcome is represented by the occurrence of the oronasal fistula after 1-stage versus 2-stage palatoplasty. Results: The mean fistula percentage was 9.94%. In the Veau I, II, III, and IV groups, the respective fistula rates were 2%, 7.3%, 8.3%, and 12.5%. Oronasal fistula locations based on the Pittsburgh Fistula Classification System were soft palate (type II), 16.2%; soft palate–hard palate junction (type III), 29.3%; and hard palate (type IV), 37.3%. There were no statistically significant differences between 1-stage and 2-stage palatoplasty, syndromic and nonsyndromic, or male and female patients. Primary palatoplasty timing was not a significant predictor. Conclusion: Some disparities arose when comparing studies, mainly regarding location and types of clefting prone to oronasal fistulation. Interestingly, the fistula rate does not differ between 1- and 2-stage closure, and timing of the repair does not play a role.

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Limited Incision With Thorough Elevation Palatoplasty

Abstract: The LITE palatoplasty gives satisfactory results in elongating the soft palate and reconstructing a functional velar sling without leaving any raw surfaces that can be detrimental to healing and facial growth. And there was a better speech outcome without complications.

Cited by 3 publications

References 4 publications

Characteristics and surgical outcomes of cleft palate in kabuki syndrome: a case series of 11 patients

Characteristics and surgical outcomes of cleft palate in kabuki syndrome: a case series of 11 patients

The Protruding Premaxilla

On the Frequency of Oronasal Fistulation After Primary Cleft Palate Repair

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