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Modifying the Two-Stage Cleft Palate Surgical Correction
- Source :
- The Cleft Palate-Craniofacial Journal. 39:226-232
- Publication Year :
- 2002
- Publisher :
- SAGE Publications, 2002.
-
Abstract
- Objective This paper reports the experience with a two-stage approach to surgical correction of the complete cleft palate, wherein timing of the second stage is dependent on the judgment of the speech pathologist and the orthodontist together with the surgeon. Patients Of a total of 35 patients having complete unilateral clefts a sample of 22 were available for postsurgical assessment. The first-stage repair of the palate was carried out at an average age of 10.7 months (range 6 to 17 months), and the second-stage repair of the residual cleft was completed at an average age of 32.7 months (range 26 to 34 months). Interventions The first-stage repair of the soft palate defect involved mobilizing two short posteriorly based flaps, which extend onto the posterior quarter of the hard palate thus including up to 1 cm of mucoperiosteum. Careful freeing of the muscle is followed by an intravelar veloplasty. The later closure of the residual cleft involved turnover hinge flaps and small mucoperiosteal flaps. Results Eighty-seven percent of the sample had good to excellent speech as assessed by the Great Ormond Street screening method. Only two patients showed evidence of recessive maxillae with Class III malocclusions. Conclusions A two-stage surgical closure of the palate using this procedure would appear to confer several valuable advantages to the patient. These include favorable outcomes for speech in the large majority of cases and minimal adverse effects on the growth of the midface region.
- Subjects :
- Male
Palate, Hard
medicine.medical_specialty
ORTHODONTIC PROCEDURES
Speech-Language Pathology
Time Factors
Decision Making
Orthodontics
Malocclusion, Angle Class II
Speech Disorders
Surgical Flaps
03 medical and health sciences
0302 clinical medicine
Postoperative Complications
Periosteum
Palatal Muscles
medicine
Humans
030212 general & internal medicine
Stage (cooking)
Patient Care Team
Soft palate
business.industry
Infant
030206 dentistry
Surgical correction
medicine.disease
Surgery, Oral
Surgery
Cleft Palate
Otitis Media
Malocclusion, Angle Class III
Treatment Outcome
medicine.anatomical_structure
Otorhinolaryngology
Child, Preschool
Female
Mucoperiosteum
Hard palate
Palate, Soft
Oral Surgery
Malocclusion
business
Oral Fistula
Subjects
Details
- ISSN :
- 15451569 and 10556656
- Volume :
- 39
- Database :
- OpenAIRE
- Journal :
- The Cleft Palate-Craniofacial Journal
- Accession number :
- edsair.doi.dedup.....23bb65c663541861b97d28f31cd064c8