Farouk, A., Abouarab, M. (2022). Optimizing Design and Mobility of Palatal Flaps in Repair of Wide Cleft Palate. The Egyptian Journal of Plastic and Reconstructive Surgery, 46(3), 205-210. doi: 10.21608/ejprs.2022.254692
Adham Farouk; Mohamed H. Abouarab. "Optimizing Design and Mobility of Palatal Flaps in Repair of Wide Cleft Palate". The Egyptian Journal of Plastic and Reconstructive Surgery, 46, 3, 2022, 205-210. doi: 10.21608/ejprs.2022.254692
Farouk, A., Abouarab, M. (2022). 'Optimizing Design and Mobility of Palatal Flaps in Repair of Wide Cleft Palate', The Egyptian Journal of Plastic and Reconstructive Surgery, 46(3), pp. 205-210. doi: 10.21608/ejprs.2022.254692
Farouk, A., Abouarab, M. Optimizing Design and Mobility of Palatal Flaps in Repair of Wide Cleft Palate. The Egyptian Journal of Plastic and Reconstructive Surgery, 2022; 46(3): 205-210. doi: 10.21608/ejprs.2022.254692
Optimizing Design and Mobility of Palatal Flaps in Repair of Wide Cleft Palate
The Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Alexandria University
Abstract
Background: Wide cleft palate is a problem faced by plastic surgeons. Many techniques have been described for cleft palate repair, but not all of them can be used in cases of wide cleft palate. The most common post-operative complication is palatal fistula. Oronasal fistulae causes several problems such as nasal food regurgitation, bad oral odor, hypernasal speech. This study was performed to evaluate two modifications of cleft palate repair techniques aiming to decrease the rate of post-operative fistulae. Patients and Methods: In this series of cleft palate patients, we used the two flap palatoplasty technique combined with an anterior triangular flap based anteriorly at the cleft margin which is utilized as a turnover flap to decrease tension at the anterior nasal mucosal layer especially in wide clefts. Moreover, in wider clefts modifications such as greater palatine osteotomy and mobilization of the flap pedicles were used to provide more anterior and medial mobility of the flaps and thus decreasing the tension at the suture line in the midline. Results: The study included 20 patients. Healing of the flap suture lines was uneventful. No complications were recorded. Conclusion: The two modifications of cleft palate repair help to decrease tension during repair and thus decreasing the incidence of palatal fistulae.
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