A procedure combining double opposing Z-plasty with buccal flap and skin graft for a cleft palate patient with short palate

Some adult cleft palate patients show severe maxillary transverse contraction and posterior crossbite. This case report demonstrates successful surgical-orthodontic treatment of such a patient. Surgically assisted rapid maxillary expansion (SA-RME) was completed prior to comprehensive orthodontic treatment. The osteotomy was performed on both the buccal and lingual aspects of the posterior maxillary alveolus. A Hyrax-type maxillary-expansion appliance was used, and the screw (0.2 mm, one quarter turn) was turned two or three times per day. Comprehensive orthodontic treatment was initiated after extraction of the mandibular first premolars and four third molars. The maxillary lateral incisors were also extracted after active orthodontic treatment. The amount of expansion achieved using SA-RME was greater at the posterior than at the anterior maxilla. Midpalatal suture opening occurred. After orthodontic treatment, occlusal stability was satisfactory. This case demonstrates the effectiveness of SA-RME in adult cleft palate patients with severe posterior crossbite.

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Palatal obturator restoration of a cleft palate patient with velopharyngeal insufficiency: a clinical report

The Journal of Korean Academy of Prosthodontics ◽

10.4047/jkap.2013.51.4.353 ◽

2013 ◽

Vol 51 (4) ◽

pp. 353 ◽

Cited By ~ 1

Author(s):

Yu-Ri Heo ◽

Jong-Wook Kim ◽

Gyeong-Je Lee ◽

Chae-Heon Chung

Keyword(s):

Cleft Palate ◽

Velopharyngeal Insufficiency ◽

Clinical Report ◽

Palatal Obturator ◽

Palate Patient

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A novel feeding appliance made up of soft silicone-based denture liner for cleft palate patient

International Journal of Oral Health Sciences ◽

10.4103/2231-6027.171156 ◽

2015 ◽

Vol 5 (1) ◽

pp. 53 ◽

Cited By ~ 10

Author(s):

AkhileshKumar Singh ◽

Rosalin Kar ◽

Niranjan Mishra ◽

Shreya Singh

Keyword(s):

Cleft Palate ◽

Palate Patient

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Delayed buccal fat pad herniation: An unusual complication of buccal flap in cleft surgery

Indian Journal of Plastic Surgery ◽

10.1055/s-0039-1699322 ◽

2009 ◽

Vol 42 (01) ◽

pp. 104-105

Author(s):

Puneet Tuli ◽

Atul Parashar ◽

Vipul Nanda ◽

Ramesh K. Sharma

Keyword(s):

Cleft Palate ◽

Nasal Mucosa ◽

Donor Site ◽

Unusual Complication ◽

Fat Pad ◽

Buccal Fat Pad ◽

The Third ◽

Buccal Flap ◽

Fat Herniation ◽

Cleft Surgery

ABSTRACTBuccal musculomucosal flap is commonly used in cleft palate surgery for providing additional lining when nasal mucosa is inadequate. We report an unusual complication of progressively increasing fat herniation from the sutured donor site which started appearing on the third postoperative day. This necessitated excision of the protruding fat pad on the seventh postoperative day. The possible mechanism and precautions for prevention of this complication are discussed.

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