Surgical Strategy of Cleft Palate Repair and Nasometric Results

Nakamura, Norifumi; Tezuka, Masahiro

doi:10.5772/67093

Cited by 3 publications

(2 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Velopharyngeal incompetence is the inability to completely close the velopharyngeal sphincter which is required for the normal production of all but the nasal consonants. It results in nasal air escape and hypernasality leading to decreased intelligibility of speech[ 23 ].…”

Section: Specific Considerations For Timing Of Surgical Interventionmentioning

confidence: 99%

Optimal timing for plastic surgical procedures for common congenital anomalies: A review

Goel,

Goel

2024

World J Clin Pediatr

View full text Add to dashboard Cite

Apart from listening to the cry of a healthy newborn, it is the declaration by the attending paediatrician in the labour room that the child is normal which brings utmost joy to parents. The global incidence of children born with congenital anomalies has been reported to be 3%-6% with more than 90% of these occurring in low- and middle-income group countries. The exact percentages/total numbers of children requiring surgical treatment cannot be estimated for several reasons. These children are operated under several surgical disciplines, viz, paediatric-, plastic reconstructive, neuro-, cardiothoracic-, orthopaedic surgery etc . These conditions may be life-threatening, e.g. , trachea-oesophageal fistula, critical pulmonary stenosis, etc . and require immediate surgical intervention. Some, e.g. , hydrocephalus, may need intervention as soon as the patient is fit for surgery. Some, e.g. , patent ductus arteriosus need ‘wait and watch’ policy up to a certain age in the hope of spontaneous recovery. Another extremely important category is that of patients where the operative intervention is done based on their age. Almost all the congenital anomalies coming under care of a plastic surgeon are operated as elective surgery (many as multiple stages of correction) at appropriate ages. There are advantages and disadvantages of intervention at different ages. In this article, we present a review of optimal timings, along with reasoning, for surgery of many of the common congenital anomalies which are treated by plastic surgeons. Obstetricians, paediatricians and general practitioners/family physicians, who most often are the first ones to come across such children, must know to guide the parents appropriately and convincingly impress upon the them as to why their child should not be operated immediately and also the consequences of too soon or too late.

show abstract

Section: Specific Considerations For Timing Of Surgical Interventionmentioning

confidence: 99%

Optimal timing for plastic surgical procedures for common congenital anomalies: A review

Goel,

Goel

2024

World J Clin Pediatr

View full text Add to dashboard Cite

show abstract

“…For the repair of the soft and/or hard palate, many techniques have been described. The aim of palatoplasty is not limited to simple closure of the soft and hard palate but also improvement in speech and avoidance of abnormal maxillofacial growth after repair (8,9). Intravelar veloplasty was modified by Sommerlad to be a more physiological technique aiming to preserve the anatomy of the velum.…”

Section: Introductionmentioning

confidence: 99%

Primary Versus Secondary Repair of Cleft Palate Using Intravelar Veloplasty Approach

Habib¹,

Abdou²,

Abdeldayem³

2022

Alexandria Dental Journal

View full text Add to dashboard Cite

INTRODUCTION:Cleft palate is a common congenital anomaly of the craniofacial region. Intravelar veloplasty is a procedure for correcting cleft palate depends on dissection and retro-positioning of levator palati muscle from the posterior line of hard palate. Velopharyngeal insufficiency requires palatal re-repair procedure. The present study aimed to evaluate the microscopic surgical repair of CP with IVVP on clinical and radiological basis. METHODS:The study was conducted using a comparative quasi-experimental study design on 35 patients; 21 patients underwent primary IVVP repair and 14 patients underwent palatal re-repair. Postoperative outcomes were assessed immediately after surgery and after 6 months. Clinical assessment included cleft types and complications, while the radiological assessment was through lateral videofluoroscopy and nasopharyngoscopy. RESULTS: Primary cleft palate repair was done for 21 patients of which 57.1% were females, while cleft palate re-repair was done for 14 patients of which 50% were females. There was a significant difference between primary and re-repaired cases in regard to residence, weight, height and type of cleft, while the complications showed insignificant difference. Primary and re-repaired cases showed insignificant difference in the parameters at nasopharyngoscopy except for closure ratio change and lateral video fluoroscopy except for resting and contracting gaps changes. CONCLUSION AND RECOMMENDATIONS: Only small rate of oronasal fistula following IVVP was found with significant improvement in velopharyngeal function and complete correction of velopharyngeal incompetence of secondary cleft palate repair following different operational techniques. IVVP is a minimally invasive procedure for correcting cleft palate both for primary or secondary repair.

show abstract