Correction of incomplete cleft palate by u-shaped flap palatoplasty

Abstract

The designed flap allows covering of sutured nasal mucosa and palatal muscles with a healthy unsutured oral mucosa and elongates the soft palate. Thus, there was no incidence of post-operative fistula and no need for further pharyngoplasties.

Epidemiology of adult cleft patients in North-western Nigeria: Our experience

“…Regarding the palatal clefts, the complete unilateral had the 2-flap palatoplasty [ Figure 3], two of the incomplete clefts (soft palate) had a V-Y push back palatoplasty as described by Kilner and Wardill, [9] while the remaining two incomplete clefts had the Von Langenbeck palatoplasty. Sale [10] in 2010 reported the successful use of u-shaped flaps for the incomplete clefts in 34 patients. Our experience compares favorably with the Bangladesh study.…”

Soft palate bi‐pedicle flaps: A modification of VY repair of cleft soft palate in twenty‐six patients

“…We demonstrated that experienced users of a CI were able to perform self-administered speech recognition tests at home and that the home tests provide a valid alternative to testing in the clinic. 1,2 The…”

“…The surgical purpose of primary cleft palate (CP) repair beside cleft gap closure without residual fistula is to achieve adequate velopharyngeal (VP) function and normal speech development. 1 In 1861, Von Langenbeck presented a technique for CP repair.…”

“…Every repair developed later involves his principle of moving mucoperiosteal flaps medially to close the palatal defect. 1 In 1937, Kilner and Wardill described the VY repositioning technique for repair of incomplete clefts or cleft of secondary palate. 2 The incidence of VP insufficiency (VPI) and oronasal fistulae after CP repair is high with high overall frequency of subsequent pharyngoplasty.…”

Functional and Aesthetic Rehabilitation of a Geriatric Patient with Cleft Palate: A Case Report

“…Successful prosthetic reconstruction of an acquired or congenital maxillary defect is a challenging procedure that requires multidisciplinary expertise to achieve acceptable functional and aesthetic outcomes (Agarwal, 2009). Today, advanced surgical techniques allow cleft palate with or without cleft lip and maxillary defect to be restored with a high level of satisfaction (Mukohyame et al, 2005; Saleh, 2010; Isik et al, 2011). However, around 70 years ago, it was difficult to perform palatoplasty of a large defect where rehabilitation with graft was needed.…”