Two-Flap palatoplasty: Bardach's technique

Bardach, Janusz

doi:10.1016/s1071-0949(06)80034-x

Cited by 197 publications

(81 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This technique was described by Bardach in 1967 and further refined by Salyer et al, with excellent anatomical and functional results. 4,5 In 2005, an informal evaluation of our cases showed a low fistula rate, similar to that demonstrated by others using the two-flap technique, 6 but our speech outcomes were inconsistent. We hypothesized that to improve our functional outcomes, a more extensive dissection and retropositioning of the levator muscle is necessary.…”

supporting

confidence: 77%

The Importance of Radical Intravelar Veloplasty during Two-Flap Palatoplasty

Andrades

Espinosa-de-los-Monteros

Shell

et al. 2008

Plastic and Reconstructive Surgery

102

View full text Add to dashboard Cite

show abstract

supporting

confidence: 77%

The Importance of Radical Intravelar Veloplasty during Two-Flap Palatoplasty

Andrades

Espinosa-de-los-Monteros

Shell

et al. 2008

Plastic and Reconstructive Surgery

102

View full text Add to dashboard Cite

show abstract

“…It is believed that early close may have an adverse effect on facial growth [9] whereas late close (after the second or the third year) can have a negative influence on speech [14]. The founders of the two-flap palatoplasty recommend an early closure [12,15]. We failed to show any significant advantages of early close.…”

Section: Discussionmentioning

confidence: 67%

Cleft lip and palate treatment of 530 children over a decade in a single centre

Vlastos¹,

Koudoumnakis²,

Houlakis³

et al. 2009

International Journal of Pediatric Otorhinolaryngology

View full text Add to dashboard Cite

“…The palate is repaired using a two-flap pushback palatoplasty. 10 Particular attention is paid to the muscle dissection and subsequent muscle union. If the previous anterior palate repair has in any way dehisced, the vomer flap is raised again as nasal lining.…”

Section: Consultationsmentioning

confidence: 99%

From Birth to Maturity: A Group of Patients Who Have Completed Their Protocol Management. Part I. Unilateral Cleft Lip and Palate

Schnitt

Ağır

David

2004

Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

The optimal management of the cleft lip and palate patient from birth to completion of treatment presents a formidable challenge to the plastic surgeon and the associated health care system. The multidisciplinary team approach for the management of these patients is widely accepted. However, a paucity of literature exists discussing specific protocol management, interventions, and the long-term outcomes of patients who have completed a strict treatment protocol with a consistent multidisciplinary team. The aim of this study was to present the details of the specific management protocol at the Australian Craniofacial Unit for cleft lip and palate patients and to present a group of patients who have completed this specific protocol and discuss the details of their long-term care. During a 28-year period from 1974 to 2002, the records of 337 patients treated for unilateral cleft lip and palate were evaluated. Of these 337 patients, 22 have completed the same specific protocol management. The same surgeon (David, the senior author) has been responsible for performing all operative interventions and for overseeing the care of each of the 22 patients, ensuring that the treatment protocol has been executed appropriately and without deviation. The interventions and outcomes were analyzed on the basis of speech, hearing, nasal airway, occlusion, psychosocial adjustment, and appearance. Because of the large volume of data and potential differences in outcomes, the authors' intention is to present this as part I of a four-part series beginning with unilateral cleft lip and palate. The results of isolated cleft palate, isolated cleft lip, and bilateral cleft lip and palate will be presented as parts II, III, and IV, respectively. Speech results were assessed as normal speech, mild abnormality, or severe abnormality by objective measures, and intervention for velopharyngeal insufficiency was noted. Seventeen patients were rated as having normal speech. Four patients were rated as having mild speech abnormality, one patient was rated as having severe speech abnormality, and seven patients required surgery for velopharyngeal insufficiency. Hearing results were measured objectively, and good hearing results were obtained in 18 cases. Five patients required tympanoplasty. All patients required alveolar bone grafting. The high Le Fort I osteotomy was performed in six cases. Bimaxillary surgery was performed in one case. Of all the patients assessed from birth to maturity, 13 required between three and five surgical interventions, and nine required six operations or more. Further details and photographs of preoperative and postoperative examples are provided.

show abstract

Two-Flap palatoplasty: Bardach's technique

Cited by 197 publications

References 6 publications

The Importance of Radical Intravelar Veloplasty during Two-Flap Palatoplasty

The Importance of Radical Intravelar Veloplasty during Two-Flap Palatoplasty

Cleft lip and palate treatment of 530 children over a decade in a single centre

From Birth to Maturity: A Group of Patients Who Have Completed Their Protocol Management. Part I. Unilateral Cleft Lip and Palate

Contact Info

Product

Resources

About