Use of buccal myomucosal flap for palatal lengthening in cleft palate patient: Experience of 20 cases

Varghese, Don; Datta, Shubharanjan; Varghese, Annie

doi:10.4103/0976-237x.152935

Cited by 21 publications

(14 citation statements)

References 17 publications

(20 reference statements)

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“…However, minimal swelling and scarring would be seen in lasers due to healing by secondary intentions. This is also associated with tissue regenerations for new tissue formation on the involved areas [23][24][25]. Therefore, the laser technique provides better healing in comparison to the surgical techniques.…”

Section: Resultsmentioning

confidence: 99%

Evaluation of healing following frenectomy

Zaaba¹

2021

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Aberrant frenum attachment would cause plaque accumulation and malalignment of teeth. It can be managed by frenotomy or frenectomy methods, through a conventional surgical technique or laser technique. Therefore, it is of interest to compare frenectomy healing surgical and laser techniques. Data from 51 outpatients and post-operative healing of frenectomy was assessed by Landry’s healing score index using 3 weeks postoperative photographs followed by statistical analysis. Based on the healing score index, the laser technique showed better outcomes than the surgical technique. Moreover, the association between the management of high frenal attachment and the healing score index was found to be statistically significant.

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Section: Resultsmentioning

confidence: 99%

Evaluation of healing following frenectomy

Zaaba¹

2021

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“…The use of potential periodontal biomarkers of healing such as fibroblast growth factor 2 levels, cathepsin levels, endothelin 1 levels could have been correlated to obtained findings. [21][22][23][24]The present study population was not homogenous and different treatment techniques were applied to different number of patients with no correlation to oral hygiene status of the patients…”

Section: Resultsmentioning

confidence: 99%

Soft tissue re-growth after different crown lengthening techniques among Indian patients

Narayan¹

2021

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Patients often report complaining of fractured or decayed teeth with severe morphological deformities. However, all these clinical scenarios require the same level of care and consideration to rehabilitate form, function and esthetics. Some cases have sufficient clinical crown height while others often require an interdisciplinary approach in the form of orthodontic/surgical extrusion or surgical periodontal options. A common factor delaying treatment is soft tissue regrowth after crown lengthening which delays the impression required for final prosthesis. Therefore, it is of interest to compare the prevalence of soft tissue regrowth a week after different crown lengthening techniques including laser gingivectomy, electrocautery gingivectomy, modified Widman flap and apically repositioned. The parameters assessed included 1-week postoperative soft tissue regrowth after crown lengthening, age of patients and gender. It was observed that laser and electrocautery-assisted gingivectomy had a higher rate of soft tissue regrowth as compared to surgical techniques. It was further noted that laser and electrocautery assisted gingivectomy had a higher frequency of soft tissue rebound growth compared to surgical crown lengthening using modified widman flap and apically repositioned flap, which was statistically insignificant. Patients within the age groups of 26-60 years were found to have a higher tendency of soft tissue regrowth, which was found to be clinically and statistically significant (p<0.05).

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“…There was a postoperative fistula rate of 8.8% in patients with wide clefts who received BMFs compared to 1.2% in those with narrow clefts who received no BMFs (Mann et al, 2017). BMFs have also been previously applied to secondary palatoplasty (Nakakita et al, 1990; Hill et al, 2004; Varghese et al, 2015). While speech outcomes remain understudied, in 2004, Hill et al, reported improved speech outcomes at 6 months following the use of the BMFs as a “sandwich” for secondary palatal lengthening to address secondary velopharyngeal insufficiency (Hill et al, 2004).…”

Section: Discussionmentioning

confidence: 99%

Tissue Augmenting Palatoplasty for the Treatment of Velopharyngeal Insufficiency

Anstadt

Bruce

Ford

et al. 2021

The Cleft Palate Craniofacial Journal

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Purpose Persistent velopharyngeal insufficiency (VPI) following primary palatoplasty remains a difficult problem to treat. This study evaluates speech outcomes following revision palatoplasty with tissue augmentation using buccal myomucosal flaps (BMF) as an alternative to pharyngoplasty for patients with VPI. Methods A retrospective single-center review of revision palatoplasty with tissue augmentation at a tertiary pediatric hospital Cleft-Craniofacial Center between January 2017 and March 2021 was conducted. Patients with a history of previous palatoplasty, a diagnosis of persistent or recurrent VPI, and comprehensive pre- and postoperative speech evaluations who underwent revision palatoplasty with BMF were included. Results Twenty patients met inclusion criteria (35% female, 20% syndromic). Mean age at the time of revision palatoplasty with BMF was 9.7 years. Preoperatively, all patients had stigmatizing speech and received the recommendation for speech surgery; the mean Pittsburgh Weighted Speech Score (PWSS) was 14.3 ± 4.9. The mean postoperative PWSS at the most recent assessment was 4.2 ± 2.3, representing a statistically significant improvement from preoperative scores ( P < .001). Mean follow-up time was 8.9 months. Following revision palatoplasty with BMF, only one patient has received the recommendation for further speech surgery. No complications were noted. Conclusion In patients with VPI following primary palatoplasty, revision palatoplasty with tissue augmentation offers an alternative to pharyngoplasty. This approach preserves dynamic velopharyngeal function, improves speech outcomes, and should be considered an option when treating patients with post-primary palatoplasty VPI.

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Use of buccal myomucosal flap for palatal lengthening in cleft palate patient: Experience of 20 cases

Cited by 21 publications

References 17 publications

Evaluation of healing following frenectomy

Evaluation of healing following frenectomy

Soft tissue re-growth after different crown lengthening techniques among Indian patients

Tissue Augmenting Palatoplasty for the Treatment of Velopharyngeal Insufficiency

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