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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2017
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| author | Rossell Perry, Percy Eduardo Cotrina‐Rabanal, Omar Barrenechea-Tarazona, Luis Vargas-Chanduvi, Roberto Paredes-Aponte, Luis Romero-Narvaez, Carolina |
| author_browse | Barrenechea-Tarazona, Luis Cotrina‐Rabanal, Omar Paredes-Aponte, Luis Romero-Narvaez, Carolina Rossell Perry, Percy Eduardo Vargas-Chanduvi, Roberto |
| author_facet | Rossell Perry, Percy Eduardo Cotrina‐Rabanal, Omar Barrenechea-Tarazona, Luis Vargas-Chanduvi, Roberto Paredes-Aponte, Luis Romero-Narvaez, Carolina |
| author_sort | Rossell Perry, Percy Eduardo |
| collection | Producción científica |
| description | 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. |
| format | Article |
| id | oai:cris.upeu.edu.pe:20.500.15037/1323 |
| institution | UPeU |
| language | English |
| publishDate | 2017 |
| publishDateRange | 2017 |
| publishDateSort | 2017 |
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| spelling | oai:cris.upeu.edu.pe:20.500.15037/13232026-10-30T16:15:34ZMucoperiosteal Flap Necrosis after Primary Palatoplasty in Patients with Cleft PalateRossell Perry, Percy EduardoCotrina‐Rabanal, OmarBarrenechea-Tarazona, LuisVargas-Chanduvi, RobertoParedes-Aponte, LuisRomero-Narvaez, CarolinaPalatoplastyMedicineComplicationDentistrySurgeryHard palateNecrosisMedical recordRetrospective cohort studyHypoplasiaInternal medicineLife Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate ResearchHealth Sciences Medicine Surgery Reconstructive Surgery and Microvascular TechniquesHealth Sciences Medicine Pulmonary and Respiratory Medicine Tracheal and airway disordersBACKGROUND: 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.Articlehttps://pubmed.ncbi.nlm.nih.gov/28573096http://www.e-aps.org/upload/pdf/aps-44-217.pdfhttps://doi.org/10.5999/aps.2017.44.3.21710.5999/aps.2017.44.3.217https://hdl.handle.net/20.500.15037/1323W2618399563enArchives of Plastic Surgery2234-61632234-61712017-05-012026-06-13T09:53:21Z2026-06-13T09:53:21Z |
| spellingShingle | 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 Rossell Perry, Percy Eduardo Cotrina‐Rabanal, Omar Barrenechea-Tarazona, Luis Vargas-Chanduvi, Roberto Paredes-Aponte, Luis Romero-Narvaez, Carolina Mucoperiosteal Flap Necrosis after Primary Palatoplasty in Patients with Cleft Palate |
| title | Mucoperiosteal Flap Necrosis after Primary Palatoplasty in Patients with Cleft Palate |
| title_full | Mucoperiosteal Flap Necrosis after Primary Palatoplasty in Patients with Cleft Palate |
| title_fullStr | Mucoperiosteal Flap Necrosis after Primary Palatoplasty in Patients with Cleft Palate |
| title_full_unstemmed | Mucoperiosteal Flap Necrosis after Primary Palatoplasty in Patients with Cleft Palate |
| title_short | Mucoperiosteal Flap Necrosis after Primary Palatoplasty in Patients with Cleft Palate |
| title_sort | mucoperiosteal flap necrosis after primary palatoplasty in patients with cleft palate |
| topic | 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 |
| topic_facet | 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 |
| url | https://pubmed.ncbi.nlm.nih.gov/28573096 http://www.e-aps.org/upload/pdf/aps-44-217.pdf https://doi.org/10.5999/aps.2017.44.3.217 https://hdl.handle.net/20.500.15037/1323 |
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