Intravelar veloplasty: Surgical modification according to anatomical defect

Bütow, Kurt-Wilhelm; Jacobs, Fred J.

doi:10.1016/s0901-5027(05)80159-6

Cited by 13 publications

(10 citation statements)

References 21 publications

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“…The sP is closed at the age of 7 months [40], whereas the hP, which remains open, contributes to maintaining the airway flow through the nasal and oral cavities. Clinically, the tongue adopts a more normal position during the following 11 months after soft palate surgery, until the hP is surgically repaired at 18 months of age.…”

Section: Discussionmentioning

confidence: 99%

Pierre Robin sequence: appearances and 25 years of experience with an innovative treatment protocol

Bütow

Hoogendijk

Zwahlen

2009

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 99%

Pierre Robin sequence: appearances and 25 years of experience with an innovative treatment protocol

Bütow

Hoogendijk

Zwahlen

2009

Journal of Pediatric Surgery

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“…1) consisted of an intravelar veloplasty as originally described by KRIENS 7 and modified by BÜ TOW 3,4 . All the babies were admitted to the hospital on the day of surgery and stayed in the same paediatric ward, up to for 7 days postoperatively.…”

Section: Methodsmentioning

confidence: 99%

Cleft soft palate reconstruction: prospective study on infection and antibiotics

Myburgh

Bütow

2009

International Journal of Oral and Maxillofacial Surgery

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Abstract. The aim of this prospective study was to identify possible pathogenic organisms associated with wound complications in the form of wound infections, wound breakdown and the formation of oro-nasal fistulas. The organisms' resistance profile to antibiotics was also evaluated. This prospective study consisted of the evaluation of the intra-oral microbiological profile of 100 babies with soft palate cleft deformities peri-operatively. A wide spectrum of pathogenic organisms from the upper aero-digestive track was isolated, as well as a group of organisms that originated from the colon/perineum. The latter organisms were mostly associated with postoperative complications. The antibiotic resistance profile showed a high resistance to commonly used antibiotics such as ampicillin, amoxycillin-clavulanic acid, and first-and second-generation cephalosporins. The resistance profile of the organisms needs to be reassessed and appropriate antibiotics must be used in combination with an antimicrobial mouth rinse.

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“…The postoperative results of the asymmetrical soft palate clefts that were repaired by means of the type II intravelar veloplasty (2005)(2006)(2007)(2008) 7 were compared to the postoperative results of the type III intravelar veloplasty (2008)(2009)(2010)(2011)(2012). It is quite obvious that the results favour the type III intravelar veloplasty repair technique for the asymmetrical soft palate cleft, particularly in cases where the asymmetrical soft palate cleft is more severe.…”

Section: Discussionmentioning

confidence: 99%

“…This technique was performed in the facial cleft deformity clinic until 1987. Thereafter it was modified according to anatomical defects 7 (the type II intravelar veloplasty) and included uvula muscle repair. 8 This change included seven different modifications to the original intravelar veloplasty.…”

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confidence: 99%

Asymmetrical soft palate cleft repair: Preliminary results

Bütow

Engelbrecht

Naidoo

2014

International Journal of Oral and Maxillofacial Surgery

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Abstract.The reconstructions of the asymmetrical soft palate cleft is a surgical challenge when it comes to achieving symmetry and optimal soft palate muscular function. Three different versions of the intravelar veloplasty have been used: the intravelar veloplasty (1969) (type I), the modification according to anatomical defects (1991) (type II), and the modification using part of Sommerlad's technique and part of Ivanov's technique (2008) (type III). The perioperative outcomes of the type II and type III intravelar veloplasty were assessed and compared in asymmetrical cleft cases. Two hundred and seventy-seven soft palate clefts were reconstructed: 153 type II and 124 type III. Of these, 49 were asymmetrical (17.7%); 23 underwent the type II procedure and 26 the type III procedure. Of the type II procedure cases, 30.4% remained asymmetrical postoperatively compared to 3.8%of the type III cases. The uvula appeared subjectively atrophic in 47.8% of the type II cases and in 7.7% of type III cases. Oro-nasal fistula occurred in 13.0% of the type II cases and 3.8% of the type III cases. Speech results will only be assessed after 4 years of age. The type III modified intravelar veloplasty has had a major beneficial impact on patients who had an asymmetrical soft palate cleft.

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Intravelar veloplasty: Surgical modification according to anatomical defect

Cited by 13 publications

References 21 publications

Pierre Robin sequence: appearances and 25 years of experience with an innovative treatment protocol

Pierre Robin sequence: appearances and 25 years of experience with an innovative treatment protocol

Cleft soft palate reconstruction: prospective study on infection and antibiotics

Asymmetrical soft palate cleft repair: Preliminary results

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