Two Methods of Cleft Palate Repair in Patients With Complete Unilateral Cleft Lip and Palate
OBJECTIVE: The objective of this study was to compare the surgical outcome between 2 patient groups with complete unilateral cleft lip and palate who underwent different types of palatoplasty. METHODS: This is a cohort study between 2 groups of patients with complete unilateral cleft lip and palate...
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2018
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| _version_ | 1881508819236814848 |
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| author | Percy Rossell‐Perry |
| author_browse | Percy Rossell‐Perry |
| author_facet | Percy Rossell‐Perry |
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| description | OBJECTIVE: The objective of this study was to compare the surgical outcome between 2 patient groups with complete unilateral cleft lip and palate who underwent different types of palatoplasty. METHODS: This is a cohort study between 2 groups of patients with complete unilateral cleft lip and palate who were operated using different surgical techniques from 2008 to 2011. About 28 patients were operated using a primary lip nose repair with vomer flap for hard palate single-layer closure and delayed soft palate repair (modified Oslo protocol) and 32 patients were operated using our protocol in Lima. Data collection was accomplished by evaluation of symptomatic oronasal fistulas, presence of velopharyngeal insufficiency and evaluation of dental arch relationships (scored using the 5-year-olds' index). RESULTS: Our comparative study observed statistically significant differences between the 2 groups regarding the presence of oronasal fistulas and velopharyngeal insufficiency in favor of our palatoplasty technique. A statistically significant difference was not found in functional vestibular oronasal fistula development between the studied techniques for unilateral cleft palate repair. This comparative study did not observe significant differences in dental arch relationships between the studied techniques. CONCLUSION: In this study, better surgical outcome than modified Oslo protocol regarding oronasal fistulas and velopharyngeal insufficiency on patients with complete unilateral cleft lip and palate was observed. The results arising from this study do not provide evidence that one technique is enough to obtain better functional closure of the alveolar cleft and dental arch relationship at 5 years. |
| format | Article |
| id | oai:cris.upeu.edu.pe:20.500.15037/1320 |
| institution | UPeU |
| language | English |
| publishDate | 2018 |
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| spelling | oai:cris.upeu.edu.pe:20.500.15037/13202026-10-30T16:15:34ZTwo Methods of Cleft Palate Repair in Patients With Complete Unilateral Cleft Lip and PalatePercy Rossell‐PerryMedicinePalatoplastyVomerVelopharyngeal insufficiencyDentistrySoft palateHard palateDental archNoseOrthodonticsSurgeryAnatomyMedicinePalatoplastyVomerVelopharyngeal insufficiencyDentistrySoft palateHard palateDental archNoseOrthodonticsSurgeryChildChildChildCleft Lip complicationsCleft Lip complicationsCleft Lip complicationsCleft Lip surgeryCleft Lip surgeryCleft Lip surgeryCleft Palate complicationsCleft Palate complicationsCleft Palate complicationsCleft Palate surgeryCleft Palate surgeryCleft Palate surgeryDental Arch surgeryDental Arch surgeryDental Arch surgeryFemaleFemaleFemaleFollow-Up StudiesFollow-Up StudiesFollow-Up StudiesHumansHumansHumansMaleMaleMaleNose abnormalitiesNose abnormalitiesNose abnormalitiesNose surgeryNose surgeryNose surgeryPalate, Soft surgeryPalate, Soft surgeryPalate, Soft surgeryPeruPeruPeruSurgical FlapsSurgical FlapsSurgical FlapsVelopharyngeal Insufficiency etiologyVelopharyngeal Insufficiency etiologyVelopharyngeal Insufficiency etiologyVelopharyngeal Insufficiency surgeryVelopharyngeal Insufficiency surgeryVelopharyngeal Insufficiency surgeryCohort StudiesCohort StudiesCohort StudiesOral Fistula etiologyOral Fistula etiologyOral Fistula etiologyOral Fistula surgeryOral Fistula surgeryOral Fistula surgeryTreatment OutcomeTreatment OutcomeTreatment OutcomePalate, Hard surgeryPalate, Hard surgeryPalate, Hard surgeryLife Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate ResearchHealth Sciences Medicine Surgery Nasal Surgery and Airway StudiesHealth Sciences Medicine Urology Urological Disorders and TreatmentsOBJECTIVE: The objective of this study was to compare the surgical outcome between 2 patient groups with complete unilateral cleft lip and palate who underwent different types of palatoplasty. METHODS: This is a cohort study between 2 groups of patients with complete unilateral cleft lip and palate who were operated using different surgical techniques from 2008 to 2011. About 28 patients were operated using a primary lip nose repair with vomer flap for hard palate single-layer closure and delayed soft palate repair (modified Oslo protocol) and 32 patients were operated using our protocol in Lima. Data collection was accomplished by evaluation of symptomatic oronasal fistulas, presence of velopharyngeal insufficiency and evaluation of dental arch relationships (scored using the 5-year-olds' index). RESULTS: Our comparative study observed statistically significant differences between the 2 groups regarding the presence of oronasal fistulas and velopharyngeal insufficiency in favor of our palatoplasty technique. A statistically significant difference was not found in functional vestibular oronasal fistula development between the studied techniques for unilateral cleft palate repair. This comparative study did not observe significant differences in dental arch relationships between the studied techniques. CONCLUSION: In this study, better surgical outcome than modified Oslo protocol regarding oronasal fistulas and velopharyngeal insufficiency on patients with complete unilateral cleft lip and palate was observed. The results arising from this study do not provide evidence that one technique is enough to obtain better functional closure of the alveolar cleft and dental arch relationship at 5 years.Articlehttps://pubmed.ncbi.nlm.nih.gov/3001574210.1097/scs.0000000000004769https://hdl.handle.net/20.500.15037/1320W2884485914enJournal of Craniofacial Surgery1049-22751536-37322018-07-162026-06-13T09:53:16Z2026-06-13T09:53:16Z |
| spellingShingle | Medicine Palatoplasty Vomer Velopharyngeal insufficiency Dentistry Soft palate Hard palate Dental arch Nose Orthodontics Surgery Anatomy Medicine Palatoplasty Vomer Velopharyngeal insufficiency Dentistry Soft palate Hard palate Dental arch Nose Orthodontics Surgery Child Child Child Cleft Lip complications Cleft Lip complications Cleft Lip complications Cleft Lip surgery Cleft Lip surgery Cleft Lip surgery Cleft Palate complications Cleft Palate complications Cleft Palate complications Cleft Palate surgery Cleft Palate surgery Cleft Palate surgery Dental Arch surgery Dental Arch surgery Dental Arch surgery Female Female Female Follow-Up Studies Follow-Up Studies Follow-Up Studies Humans Humans Humans Male Male Male Nose abnormalities Nose abnormalities Nose abnormalities Nose surgery Nose surgery Nose surgery Palate, Soft surgery Palate, Soft surgery Palate, Soft surgery Peru Peru Peru Surgical Flaps Surgical Flaps Surgical Flaps Velopharyngeal Insufficiency etiology Velopharyngeal Insufficiency etiology Velopharyngeal Insufficiency etiology Velopharyngeal Insufficiency surgery Velopharyngeal Insufficiency surgery Velopharyngeal Insufficiency surgery Cohort Studies Cohort Studies Cohort Studies Oral Fistula etiology Oral Fistula etiology Oral Fistula etiology Oral Fistula surgery Oral Fistula surgery Oral Fistula surgery Treatment Outcome Treatment Outcome Treatment Outcome Palate, Hard surgery Palate, Hard surgery Palate, Hard surgery Life Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate Research Health Sciences Medicine Surgery Nasal Surgery and Airway Studies Health Sciences Medicine Urology Urological Disorders and Treatments Percy Rossell‐Perry Two Methods of Cleft Palate Repair in Patients With Complete Unilateral Cleft Lip and Palate |
| title | Two Methods of Cleft Palate Repair in Patients With Complete Unilateral Cleft Lip and Palate |
| title_full | Two Methods of Cleft Palate Repair in Patients With Complete Unilateral Cleft Lip and Palate |
| title_fullStr | Two Methods of Cleft Palate Repair in Patients With Complete Unilateral Cleft Lip and Palate |
| title_full_unstemmed | Two Methods of Cleft Palate Repair in Patients With Complete Unilateral Cleft Lip and Palate |
| title_short | Two Methods of Cleft Palate Repair in Patients With Complete Unilateral Cleft Lip and Palate |
| title_sort | two methods of cleft palate repair in patients with complete unilateral cleft lip and palate |
| topic | Medicine Palatoplasty Vomer Velopharyngeal insufficiency Dentistry Soft palate Hard palate Dental arch Nose Orthodontics Surgery Anatomy Medicine Palatoplasty Vomer Velopharyngeal insufficiency Dentistry Soft palate Hard palate Dental arch Nose Orthodontics Surgery Child Child Child Cleft Lip complications Cleft Lip complications Cleft Lip complications Cleft Lip surgery Cleft Lip surgery Cleft Lip surgery Cleft Palate complications Cleft Palate complications Cleft Palate complications Cleft Palate surgery Cleft Palate surgery Cleft Palate surgery Dental Arch surgery Dental Arch surgery Dental Arch surgery Female Female Female Follow-Up Studies Follow-Up Studies Follow-Up Studies Humans Humans Humans Male Male Male Nose abnormalities Nose abnormalities Nose abnormalities Nose surgery Nose surgery Nose surgery Palate, Soft surgery Palate, Soft surgery Palate, Soft surgery Peru Peru Peru Surgical Flaps Surgical Flaps Surgical Flaps Velopharyngeal Insufficiency etiology Velopharyngeal Insufficiency etiology Velopharyngeal Insufficiency etiology Velopharyngeal Insufficiency surgery Velopharyngeal Insufficiency surgery Velopharyngeal Insufficiency surgery Cohort Studies Cohort Studies Cohort Studies Oral Fistula etiology Oral Fistula etiology Oral Fistula etiology Oral Fistula surgery Oral Fistula surgery Oral Fistula surgery Treatment Outcome Treatment Outcome Treatment Outcome Palate, Hard surgery Palate, Hard surgery Palate, Hard surgery Life Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate Research Health Sciences Medicine Surgery Nasal Surgery and Airway Studies Health Sciences Medicine Urology Urological Disorders and Treatments |
| topic_facet | Medicine Palatoplasty Vomer Velopharyngeal insufficiency Dentistry Soft palate Hard palate Dental arch Nose Orthodontics Surgery Anatomy Medicine Palatoplasty Vomer Velopharyngeal insufficiency Dentistry Soft palate Hard palate Dental arch Nose Orthodontics Surgery Child Child Child Cleft Lip complications Cleft Lip complications Cleft Lip complications Cleft Lip surgery Cleft Lip surgery Cleft Lip surgery Cleft Palate complications Cleft Palate complications Cleft Palate complications Cleft Palate surgery Cleft Palate surgery Cleft Palate surgery Dental Arch surgery Dental Arch surgery Dental Arch surgery Female Female Female Follow-Up Studies Follow-Up Studies Follow-Up Studies Humans Humans Humans Male Male Male Nose abnormalities Nose abnormalities Nose abnormalities Nose surgery Nose surgery Nose surgery Palate, Soft surgery Palate, Soft surgery Palate, Soft surgery Peru Peru Peru Surgical Flaps Surgical Flaps Surgical Flaps Velopharyngeal Insufficiency etiology Velopharyngeal Insufficiency etiology Velopharyngeal Insufficiency etiology Velopharyngeal Insufficiency surgery Velopharyngeal Insufficiency surgery Velopharyngeal Insufficiency surgery Cohort Studies Cohort Studies Cohort Studies Oral Fistula etiology Oral Fistula etiology Oral Fistula etiology Oral Fistula surgery Oral Fistula surgery Oral Fistula surgery Treatment Outcome Treatment Outcome Treatment Outcome Palate, Hard surgery Palate, Hard surgery Palate, Hard surgery Life Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate Research Health Sciences Medicine Surgery Nasal Surgery and Airway Studies Health Sciences Medicine Urology Urological Disorders and Treatments |
| url | https://pubmed.ncbi.nlm.nih.gov/30015742 https://hdl.handle.net/20.500.15037/1320 |
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