Badawy, M., Mabrouk, A., Amin, E. (2024). Outcomes of Delayed Primary Palatoplasty. The Egyptian Journal of Plastic and Reconstructive Surgery, 48(3), 191-196. doi: 10.21608/ejprs.2024.365328
Mohamed Samir Badawy; Amr Mabrouk; Ebrahim Mohamed Amin. "Outcomes of Delayed Primary Palatoplasty". The Egyptian Journal of Plastic and Reconstructive Surgery, 48, 3, 2024, 191-196. doi: 10.21608/ejprs.2024.365328
Badawy, M., Mabrouk, A., Amin, E. (2024). 'Outcomes of Delayed Primary Palatoplasty', The Egyptian Journal of Plastic and Reconstructive Surgery, 48(3), pp. 191-196. doi: 10.21608/ejprs.2024.365328
Badawy, M., Mabrouk, A., Amin, E. Outcomes of Delayed Primary Palatoplasty. The Egyptian Journal of Plastic and Reconstructive Surgery, 2024; 48(3): 191-196. doi: 10.21608/ejprs.2024.365328
The Department of Plastic, Burn and Maxillofacial Surgery, Faculty of Medicine, Ain Shams University
Abstract
Background: Despite advances in health awareness programs and general approval of the ideal time for primary palatal repair before two years of life, we still face many patients with untouched or unrepaired palate. Which put the surgeon in a dilemma especially regarding patients’ expectations for improvement of nasality, regurgitation and speech. Objective: Determining reasons of delayed presenting with cleft palate and the effect of palatoplasty. Patients and Methods: We included all patients’ ≥6 years with untouched cleft palate with or without previous cleft lip < br />repair. Data was collected about age, sex, type of cleft, reasons of delay. All Patients underwent two flap palatoplasty and followed postoperatively for complications, improvement of hypernasality and nasal regurgitation. Results: A total of 24 patients with delayed presentation of untreated cleft palate between the years 2011 and 2021 were included in this study. The most common reason for delayed presentation was lacking nearby service (37.5%). The most common presentation was unilateral cleft lip and palate with repaired lip (37.5%). The intra-operative blood loss which need blood transfusion was (8.3%). Also the post-operative complication like bleeding, airway compromise, wound disruption and fistula rate were (49.9%). Nasal regurgitation was improved in 58.3% after palatoplasty only but in 33.3% of patients another intervention needed. Improvement of hypernasality was extremely linked to the patient’s age. Conclusion: We recommend intervention for lately presenting patients with cleft palate even for adult’s despite being accustomed for regurgitation and nasality as the benefits are much more than the drawbacks
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