Palatoplasty Using Alveolar Ridge Incisions: A Novel Approach for Addressing Cleft Palate Deformities
Background:. Traditionally, plastic surgeons have performed palatoplasties using mucoperiosteal flaps with lateral incisions that are medial to the alveolar ridge. However, narrow flaps can cause limitations in some cases. To construct larger and wider flaps and minimize exposed bone after closure,...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2022-04-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004275 |
| _version_ | 1828402413120258048 |
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| author | Sumun Khetpal, MD Harsh Patel, MD Michael DeLong, MD Mengyuan T. Liu, MD Wayne H. Ozaki, MD, DDS, FACS |
| author_facet | Sumun Khetpal, MD Harsh Patel, MD Michael DeLong, MD Mengyuan T. Liu, MD Wayne H. Ozaki, MD, DDS, FACS |
| author_sort | Sumun Khetpal, MD |
| collection | DOAJ |
| description | Background:. Traditionally, plastic surgeons have performed palatoplasties using mucoperiosteal flaps with lateral incisions that are medial to the alveolar ridge. However, narrow flaps can cause limitations in some cases. To construct larger and wider flaps and minimize exposed bone after closure, we propose a novel technique that entails creating the lateral incisions at the top of the alveolar ridge, instead of the base of the alveolar ridge, to capture more tissue when repairing the hard palate.
Methods:. A retrospective chart review was conducted for patients undergoing cleft palate repair with the aforementioned technique. Information collected included basic demographic and diagnostic factors related to cleft palate deformity and history of previous facial surgeries. Operative report details and postoperative complications were analyzed.
Results:. Nineteen patients with hard palate clefts were included in the analysis, with the majority being women (68%). There was a balanced representation of patients with Veau classifications of II (47%) and III (42%). The majority of patients had an isolated cleft palate (74%) and incomplete deformity (63%), with no other craniofacial deformities. One (5%) had postoperative self-limited oronasal fistula managed conservatively.
Conclusions:. We present a novel approach for repairing cleft palate deformities by extending the lateral incision to the top of the alveolar ridge to create larger mucosal flaps. Further longitudinal studies are needed to evaluate how this unique approach compares to traditional methods—with respect to impact on maxillary growth processes, requirement for subsequent surgeries beyond two years of follow-up, and ultimately normalized speech over time. |
| first_indexed | 2024-12-10T09:59:53Z |
| format | Article |
| id | doaj.art-62d19d42eb534b2e8a1e2b8d5d43a7f7 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-10T09:59:53Z |
| publishDate | 2022-04-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-62d19d42eb534b2e8a1e2b8d5d43a7f72022-12-22T01:53:22ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742022-04-01104e427510.1097/GOX.0000000000004275202204000-00037Palatoplasty Using Alveolar Ridge Incisions: A Novel Approach for Addressing Cleft Palate DeformitiesSumun Khetpal, MD0Harsh Patel, MD1Michael DeLong, MD2Mengyuan T. Liu, MD3Wayne H. Ozaki, MD, DDS, FACS4From the Division of Plastic and Reconstructive Surgery, University of California – Los Angeles, Los Angeles, Calif.From the Division of Plastic and Reconstructive Surgery, University of California – Los Angeles, Los Angeles, Calif.From the Division of Plastic and Reconstructive Surgery, University of California – Los Angeles, Los Angeles, Calif.From the Division of Plastic and Reconstructive Surgery, University of California – Los Angeles, Los Angeles, Calif.From the Division of Plastic and Reconstructive Surgery, University of California – Los Angeles, Los Angeles, Calif.Background:. Traditionally, plastic surgeons have performed palatoplasties using mucoperiosteal flaps with lateral incisions that are medial to the alveolar ridge. However, narrow flaps can cause limitations in some cases. To construct larger and wider flaps and minimize exposed bone after closure, we propose a novel technique that entails creating the lateral incisions at the top of the alveolar ridge, instead of the base of the alveolar ridge, to capture more tissue when repairing the hard palate. Methods:. A retrospective chart review was conducted for patients undergoing cleft palate repair with the aforementioned technique. Information collected included basic demographic and diagnostic factors related to cleft palate deformity and history of previous facial surgeries. Operative report details and postoperative complications were analyzed. Results:. Nineteen patients with hard palate clefts were included in the analysis, with the majority being women (68%). There was a balanced representation of patients with Veau classifications of II (47%) and III (42%). The majority of patients had an isolated cleft palate (74%) and incomplete deformity (63%), with no other craniofacial deformities. One (5%) had postoperative self-limited oronasal fistula managed conservatively. Conclusions:. We present a novel approach for repairing cleft palate deformities by extending the lateral incision to the top of the alveolar ridge to create larger mucosal flaps. Further longitudinal studies are needed to evaluate how this unique approach compares to traditional methods—with respect to impact on maxillary growth processes, requirement for subsequent surgeries beyond two years of follow-up, and ultimately normalized speech over time.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004275 |
| spellingShingle | Sumun Khetpal, MD Harsh Patel, MD Michael DeLong, MD Mengyuan T. Liu, MD Wayne H. Ozaki, MD, DDS, FACS Palatoplasty Using Alveolar Ridge Incisions: A Novel Approach for Addressing Cleft Palate Deformities Plastic and Reconstructive Surgery, Global Open |
| title | Palatoplasty Using Alveolar Ridge Incisions: A Novel Approach for Addressing Cleft Palate Deformities |
| title_full | Palatoplasty Using Alveolar Ridge Incisions: A Novel Approach for Addressing Cleft Palate Deformities |
| title_fullStr | Palatoplasty Using Alveolar Ridge Incisions: A Novel Approach for Addressing Cleft Palate Deformities |
| title_full_unstemmed | Palatoplasty Using Alveolar Ridge Incisions: A Novel Approach for Addressing Cleft Palate Deformities |
| title_short | Palatoplasty Using Alveolar Ridge Incisions: A Novel Approach for Addressing Cleft Palate Deformities |
| title_sort | palatoplasty using alveolar ridge incisions a novel approach for addressing cleft palate deformities |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004275 |
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