WORLD JOURNAL OF PLASTIC SURGERY
مجله جهانی جراحی پلاستیک
WJPS
Medical Sciences
http://wjps.ir
1
admin
2228-7914
2252-0724
8
10.61186/wjps
14
8888
13
en
jalali
1398
10
1
gregorian
2020
1
1
9
1
online
1
fulltext
en
Does Primary Vomer Flap Significantly Affect Maxillary Growth?
تخصصي
Special
مقالات اصيل
Original Article
<div><span style="font-size: 13px;">BACKGROUND </span></div>
<div><span style="font-size: 13px;">Cleft lip and palate (CLP) is a common congenital anomaly. Efficient surgical management of CLP is challenging in severe cases with wide clefts. Use of primary vomer flap simultaneous with cleft lip repair is effective in some cases, but remains a challenging topic. </span></div>
<div><span style="font-size: 13px;">METHODS</span></div>
<div><span style="font-size: 13px;">This study evaluated 81 non-syndromic CLP patients with extensive palatal cleft and no other underlying condition. Thirty-nine patients (group A) who were infants over 6 months of age underwent primary vomer flap during lip repair to decrease the size of their extensive palatal cleft. The results in this group were compared with group B (n=42) who did not receive primary vomer flap.</span></div>
<div><span style="font-size: 13px;">RESULTS</span></div>
<div><span style="font-size: 13px;">Comparison of the two groups showed that although maxillary growth impairment and maxillary constriction had a higher frequency in group A, the palatal cleft was smaller among them, which enabled easier and more efficient cleft repair in the next step. The difference in maxillary growth impairment was not significant between the two groups. However, the prevalence of some complications such as velopharyngeal incompetence and maxillary growth impairment was slightly higher in group A compared with group B. </span></div>
<div><span style="font-size: 13px;">CONCLUSION</span>Use of primary vomer flap at the time of lip repair can decrease the size of palatal cleft and enhance its later closure. However, since impairment of the maxillary growth was slightly (but insignificantly) higher in the vomer flap group, it should be performed at ages over 6 months of age, as well as in certain cases. </div>
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Cleft palate, Vomer flap, Maxillary growth
62
66
http://wjps.ir/browse.php?a_code=A-10-551-1&slc_lang=en&sid=1
Abolhasan
Emami
10031947532846007715
10031947532846007715
No
Department of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
Haleh
Hashemzadeh
h_hashemzadeh@razi.tums.ac.ir
10031947532846007716
10031947532846007716
Yes
Department of plastic surgery, Iran University of Medical Sciences, Tehran, Iran