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Submucous cleft palate can also occur, which is a cleft of the soft palate with a split uvula, a furrow along the midline of the soft palate, and a notch in the back margin of the hard palate. [12] The diagnosis of submucous cleft palate often occurs late in children as a result of the nature of the cleft. [13]
In patients with cleft palate, the palate must be repaired through a palatoplasty for normal velopharyngeal function. Despite the palatoplasty, 20-30% of these patients will still have some degree of velopharyngeal insufficiency, which will require surgical (or prosthetic) management for correction. Therefore, a secondary operation is necessary ...
In 1928, Rosenthal used an inferiorly based posterior pharyngeal flap in combination with a modified von Langenbeck palatoplasty in primary surgery for cleft palate repair. Taking a different approach, Padgett (1930) utilized a superiorly based flap for cleft palate patients whose primary surgical repair had been unsuccessful (Sloan, 2000).
Operation Smile has provided over 350,000 surgeries for children and young adults born with cleft lips, cleft palates, and other facial deformities in over 60 countries since 1982, at no cost to the recipients. [1] As of 2022, Operation Smile provided on-going care around the world at 38 smile centers. [2]
Articulation and Nasality Changes Resulting from Sustained Palatal Fistula Obturation. The Cleft Palate-Craniofacial Journal, 35, 81–87. Reisberg, D.J. (2000). Dental and Prosthodontic Care for Patients With Cleft or Craniofacial Conditions. The Cleft Palate-Craniofacial Journal, 37, 534–537.
Palatoplasty is a surgical procedure used to correct or reconstruct the palate in a person with a cleft palate.The basic goals of the procedure are to close the abnormal opening between the nose and mouth, to help the patient develop normal speech, and to aid in swallowing, breathing and normal development of associated structures in the mouth.
In cleft palate patients bone grafting during the mixed dentition has been widely accepted since the mid-1960s. The goals of surgery are to stabilize the maxilla, facilitate the healthy eruption of teeth that are adjacent the cleft, improving the esthetics of the base of the nose, create a bone base for dental implants, and to close any oro-nasal fistulas.
Maggiulli F, Hay N, Mars M, Worrell E, Green J, Sommerlad B (2014) Early effect of vomerine flap closure of the hard palate at the time of lip repair on the alveolar gap and other maxillary dimensions. The Cleft Palate-Craniofacial Journal 51(1): 43–48. Peterson-Falzone, Sally J., Hardin-Jones, Mary A., and Karnell, Michael P. (2001).