The Celluloid-Acetone-Dressing in Palatoplasty

Abstract

The article describes an older, simple, and effective method of postoperative fixation of the palatal flaps using celluloid-acetone dressing (CAD). Veau pedicle flaps and the construction of two nasal meatuses are used for the palatoplasty. After the surgery, a wire is round around teeth IV and V on each side: a prolene mattress suture, instead of wire, is used for infants without teeth. A celluloid-acetone paste is applied to the wire or suture over a layer of gauze and petroleum jelly. The CAD mixture hardens in less than 1 hour and is removed after 4 days by cutting the wire or suture. This method prevents the palatal flaps from descending; scar tissue is minimal, and assists in the formation of a high-arched roof of the palate. In addition, the patient feeds normally after the operation.

Effect of antibiotic pack on hard palate after fistula closure on nasal airflow and reoccurrence rate

“…[10][11][12][13][14][15][16][17] Other packs that were used to protect the hard palate after closure were acrylic splints or celluloid acetone dressings. 18,19 We did not use an acellular dermal matrix or acrylic splint for a number of reasons. An antibiotic soaked sterile gauze pack is readily available at the time of surgery and it is cost-effective, it does not need to be manipulated into shape and once placed it takes the natural shape of the palate due to the pressure exerted by the tongue.…”

Placement of an antibiotic oral pack on the hard palate after primary cleft palatoplasty: a randomized controlled trial into the effect on fistula rates

“…The most common appendage used is acellular dermal grafting [15–20]. Another possibility to protect the hard palate after closure is an acrylic splint or a celluloid acetone dressing [21, 22]. We preferred the antibiotic cream-soaked sterile gauze pack to other barriers like acellular dermal matrices or acrylic splints for a number of reasons.…”