Volume 11, Issue 2 (2022)                   WJPS 2022, 11(2): 129-134 | Back to browse issues page

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Fathi H, Hoseininejad S S, Molaei H. Quantitative and Qualitative Assessment of Medial Osteotomy of the Greater Palatine Foramen in Wide Cleft Palate Repair. WJPS 2022; 11 (2) :129-134
URL: http://wjps.ir/article-1-927-en.html
1- 2. Department of Plastic & Reconstructive Surgery, Amiraalam Hospital, Tehran, Iran
2- 3. Department of Plastic & Reconstructive Surgery, School of Medicine, Ahvaz University of Medical Sciences, Ahvaz, Iran
3- 1. Department of Plastic & Reconstructive Surgery, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Abstract:   (1710 Views)
Background: Repairing of a wide cleft palate faces with several problems, e.g. medialization of palatal flaps, lack of tissue for repair, and fistula formation. We aimed at quantitative and qualitative evaluation of medial osteotomy of the greater palatine foramen for patients with wide cleft palate and its postoperative outcomes.
Methods: Eight patients 4 males, 4 females with wide cleft palate and the median age of 1.5 year were operated using medial osteotomy of the greater palatine foramen from 2018-2020. In this technique, the osteotomy was carried in the outlet of vascular pedicle medially and posteriorly. This led to more degrees of freedom for the vascular pedicle and a palatoplasty without tension through mucoperiosteal flap movement toward the medial direction. 
Results: After osteotomy and repairing for 8 patients (16 flaps), the mean (SD) length of mucoperiosteal flap pedicle was significantly increased from 2.78 mm to 6.09 mm (P<0.001). All patients were successfully repaired with no major complications, and none of them required any secondary repair. Three weeks postoperatively, all patients showed normal feeding, normal nasal resonance of speech with normal palatal mobility.
Conclusion: Osteotomy of the greater palatine foramen for the closure of wide palatal clefts showed a good efficiency, quantitatively and qualitatively. The mean length of mucoperiosteal pedicle increased by 3.22 mm (6.44 mm for bilateral) after repairing, which helps to more freely medial movement of the palatal flap and lesser tension across its closure. All patients were successfully improved without any major complications.
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Type of Study: Original Article | Subject: Special
ePublished: 2022/07/30

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