The efficacy of vomer flap for closure of hard palate during primary lip repair

Deshpande, Gaurav; Wendby, Lisa; Jagtap, Rasika; Schönmeyr, Björn

doi:10.1016/j.bjps.2015.03.034

Cited by 19 publications

(21 citation statements)

References 25 publications

(16 reference statements)

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“…Previous studies affirmed that VL technique had fewer surgical complications than vomer plasty and two-flap technique with greater complication risks. [2930] Considering the palate repair time and sequence, this study suggests that cheiloplasty at 3 months and total palatoplasty at 12 months (Group I) showed greater anterior-posterior development than the association of cheiloplasty, nose wing correction, and anterior palate surgery at 3 months and posterior palate at 12 months (Group II). This results disagree of those from Mølsted et al ., 1992.…”

Section: Discussionmentioning

confidence: 85%

“…Different palate repair techniques are used worldwide: vomer plasty, two-flap, and VL,[2930] two-stage palate repair with delay in closing hard palate,[31] and association of hard palate closure together with the lip repair, followed by soft palate repair (Oslo Protocol). [32] In this present study, VL technique was employed to close the palate.…”

Section: Discussionmentioning

confidence: 99%

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Three-dimensional evaluation of surgical techniques in neonates with orofacial cleft

Carrara

Ambrosio

Mello

et al. 2016

Ann Maxillofac Surg

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Background:Individuals with cleft lip and palate have many anatomic and functional alterations compromising esthetics, hearing, speech, occlusion, and development/craniofacial growth. The rehabilitative treatment of these patients is very challenging and starts at birth aiming at the best treatment for all functional demands. This study aimed to evaluate the dimensional alterations of the dental arches of neonates with cleft lip and palate after two different primary surgical techniques.Materials and Methods:The sample comprised 114 digital models of children aged from 3 to 36 months, with unilateral complete cleft lip and palate divided into two groups. Two different phases were evaluated: precheiloplasty and 1 year after palatoplasty. The evaluation was performed through the digital models of each child obtained by scanning digitalization (3D Scanner). Dental arches measurements were accomplished through Appliance Designer software. The following measurements were assessed: dental arch area, anterior amplitude of the cleft, total length of dental arch, intercanine distance, and intertuberosity distance. t-test was applied to compare differences between groups.Results:No statistically significant differences were observed between groups at precheiloplasty phase. At 1 year after palatoplasty, the groups differed in the total length of dental arch (P = 0.002), with greater values for Group I.Conclusion:This study suggests that the results of the different surgical techniques may alter the growth and development of the dental arches of neonates with cleft lip and palate.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Three-dimensional evaluation of surgical techniques in neonates with orofacial cleft

Carrara

Ambrosio

Mello

et al. 2016

Ann Maxillofac Surg

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“…Vomer flap dehiscence required re-repair of hard palate at second stage using previously scarred and less pliable vomer tissue that was of poor quality and prone to breakdown. This issue was also raised by Deshpande et al who found that failed vomer flaps increased risk of fistula formation in subsequent palate repairs [ 23 ]. More research is needed to investigate causes of vomer flap failure in our setting which if addressed could help reduce fistula formation.…”

Section: Main Textmentioning

confidence: 99%

Challenges to achieving low palatal fistula rates following primary cleft palate repair: experience of an institution in Uganda

Katusabe¹,

Hodges²,

Galiwango³

et al. 2018

BMC Res Notes

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ObjectiveTo determine frequency of palatal fistula following primary cleft palate repair and the associated factors as a measure of cleft palate repair outcome and its challenges at a cleft centre in Uganda.ResultsBetween May and December 2016, 54 children with cleft palate were followed up at Comprehensive Rehabilitation services of Uganda (CoRSU) hospital, from time of primary cleft palate repair until at least 3 months postoperative to determine whether they developed palatal fistula or not. Frequency of palatal fistula was 35%. Factors associated with increased fistula formation were cleft width wider than 12 mm (p = 0.006), palatal index greater than 0.4 (p = 0.046), presence of malnutrition at initial outpatient assessment (p = 0.0057) and at time of surgery (p = 0.008), two-stage palate repair (p = 0.005) and postoperative infection (p = 0.003). Severe clefting (palatal index greater than 0.4) was seen in 74% of patients and malnutrition (Low weight for age) seen in 48% of patients. Palatal fistula rates at our institution were high compared to reports in literature. The high proportions of severe clefting and malnutrition observed in our population that was also poor and unable to afford feeding supplements increased likelihood of fistula formation and posed challenges to achieving low fistula rates in our setting.Electronic supplementary materialThe online version of this article (10.1186/s13104-018-3459-6) contains supplementary material, which is available to authorized users.

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“…In this study, double breasted mucosal closure was used by reverse horizontal mattress in all of thecases revealed postoperative complete lip and palate soft tissue healing without any post-operative complication as bleeding, wound dehiscence, infection, flap necrosis, fistula formation contraryto any other complications reported in other studies (3,7,8) . Performing the vomer flap with a "double breasted mucosa" closure, they have never seen a complete dehiscence of the flap.…”

Section: Resultsmentioning

confidence: 54%

Effect of Simultaneous Vomerine Flap and Lip Repair on the Palatal Dimensions in Unilateral Complete Cleft Lip and Palate Patients

Hassan

Elsayed

et al. 2021

ADJ-for Girls

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Purpose: to evaluate the effect of simultaneous vomerine flap and lip repair on the palatal dimensions in unilateral complete cleft lip and palate patients. Patients and Method: this study included 12 patients complaining of primary unilateral complete cleft lip and palate. They were classified randomly into two groups: Group I: included 6 cases, in which simultaneous cleft lip and hard palate repair was done using single layer vomerine flap. Group II: included 6 cases, in which separate repair of cleft lip and hard palate was done. Syndromic patients and patients with previous trial of repair were excluded. Results: showed reduction in A-A` alveolar cleft width and C-C` anterior palatal width occurred in both groups, while E-E` posterior palatal width increased in group 1 and decreased in group2 and the reverse occurred in BZ antro-posterior palatal width. Conclusion: Vomer flap is an easy, safe technique, with less time consuming and provides complete healing with less fistula formation.

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The efficacy of vomer flap for closure of hard palate during primary lip repair

Cited by 19 publications

References 25 publications

Three-dimensional evaluation of surgical techniques in neonates with orofacial cleft

Three-dimensional evaluation of surgical techniques in neonates with orofacial cleft

Challenges to achieving low palatal fistula rates following primary cleft palate repair: experience of an institution in Uganda

Effect of Simultaneous Vomerine Flap and Lip Repair on the Palatal Dimensions in Unilateral Complete Cleft Lip and Palate Patients

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