Mucoperiosteal Flap Necrosis after Primary Palatoplasty in Patients with Cleft Palate

BACKGROUND: The prevalence of flap necrosis after palatoplasty in patients with cleft palate. The prevalence of mucoperiosteal flap necrosis after palatoplasty remains unknown, and this complication is rare. This event is highly undesirable for both the patient and the surgeon. We present here a new...

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Autores principales: Rossell Perry, Percy Eduardo, Cotrina‐Rabanal, Omar, Barrenechea-Tarazona, Luis, Vargas-Chanduvi, Roberto, Paredes-Aponte, Luis, Romero-Narvaez, Carolina
Formato: Artículo
Lenguaje:inglés
Publicado: 2017
Materias:
Palatoplasty
Medicine
Complication
Dentistry
Surgery
Hard palate
Necrosis
Medical record
Retrospective cohort study
Hypoplasia
Internal medicine
Life Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate Research
Health Sciences Medicine Surgery Reconstructive Surgery and Microvascular Techniques
Health Sciences Medicine Pulmonary and Respiratory Medicine Tracheal and airway disorders
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Sumario:BACKGROUND: The prevalence of flap necrosis after palatoplasty in patients with cleft palate. The prevalence of mucoperiosteal flap necrosis after palatoplasty remains unknown, and this complication is rare. This event is highly undesirable for both the patient and the surgeon. We present here a new scale to evaluate the degree of hypoplasia of the palate and identify patients with cleft palate at high risk for the development of this complication. METHODS: In this case series, a 20-year retrospective analysis (1994-2014) identified patients from our records (medical records and screening day registries) with nonsyndromic cleft palate who underwent operations at 3 centers. All of these patients underwent operations using 2-flap palatoplasty and also underwent a physical examination with photographs and documentation of the presence of palatal flap necrosis after primary palatoplasty. RESULTS: Palatal flap necrosis was observed in 4 cases out of 1,174 palatoplasties performed at these centers. The observed prevalence of palatal flap necrosis in these groups was 0.34%. CONCLUSIONS: The prevalence of flap necrosis can be reduced by careful preoperative planning, and prevention is possible. The scale proposed here may help to prevent this complication; however, further studies are necessary to validate its utility.

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