The Use of Acellular Dermal Matrix in Combination With Pedicled Buccal Fat Pad in Wide Cleft Palate Repair: A Case Report and Literature Review

2019 ◽  
Vol 56 (10) ◽  
pp. 1381-1385
Author(s):  
Benjamin K. L. Goh ◽  
Hui-Ling Chia

We describe a case of the combined use of acellular dermal matrix and pedicled buccal fat pad (BFP) in a wide U-shaped cleft palate repair. Acellular dermal matrix was used as a “patch” repair for the nasal mucosa defect as opposed to the conventional inlay graft. The advantages include reduced cost and a smaller avascular graft load. Lateral relaxing incisions were made to ensure tension-free closure of oromucosa at midline. Lateral oromucosa defect closure with well-vascularized pedicled BFP ensures enhanced healing, less palatal contracture and shortening, and reduced infection. The palate healed with mucosalization at 2 weeks, and no complications were noted at 6 months follow-up.

2012 ◽  
Vol 130 (1) ◽  
pp. 177-182 ◽  
Author(s):  
Salah A. Aldekhayel ◽  
Hani Sinno ◽  
Mirko S. Gilardino

2018 ◽  
Vol 56 (2) ◽  
pp. 187-195 ◽  
Author(s):  
Andrew Simpson ◽  
Osama A. Samargandi ◽  
Alison Wong ◽  
M. Elise Graham ◽  
Michael Bezuhly

Objective: The current review and survey aim to assess the effectiveness of acellular dermal matrix (ADM) in the repair of cleft palate and oronasal fistula and to evaluate the current trends of ADM use in palate surgery. Design: A systematic review of English articles was conducted using MEDLINE (1960 to July 1, 2016), the Cochrane Controlled Trials Register (1960 to July 1, 2016), and EMBASE (1991 to July 1, 2016). Additional studies were identified through a review of references cited in initially identified articles. Search terms included “cleft palate,” “palatal,” “oronasal fistula,” “acellular dermal matrix,” and “Alloderm®.” An online survey was disseminated to members of the American Cleft Palate-Craniofacial Association to assess current trends in ADM use in palate surgery. Study Selection: All studies evaluating the outcome of primary palate repair or repair of oronasal fistula with the use of aceullar dermal matrix products were included in the review. Results: Twelve studies met inclusion criteria for review. Studies were generally of low quality, as indicated by methodological index for non-randomized studies (MINORS) scores ranging from 7 to 14. The pooled estimate for fistula formation after primary palatoplasty following ADM use was 7.1%. The pooled estimate for recurrence of fistula after attempted repair using ADM was 11%. Thirty-six cleft surgeons responded to the online survey study. Of these, 45% used ADM in primary cleft palate repair, while 67% used ADM for repair of oronasal fistulae. Conclusion: Use of ADM products is commonplace in palate surgery. Despite this, there is a paucity of high-quality data demonstrating benefit. Further randomized controlled trials examining ADM in palate surgery are required to help develop structured guidelines and improve care.


2018 ◽  
Vol 18 (1) ◽  
pp. 40-45 ◽  
Author(s):  
Wasiu L. Adeyemo ◽  
Adebayo A. Ibikunle ◽  
Olutayo James ◽  
Olanrewaju A. Taiwo

2009 ◽  
Vol 123 (3) ◽  
pp. 1018-1021 ◽  
Author(s):  
Benjamin Levi ◽  
Steven J. Kasten ◽  
Steven R. Buchman

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