Advanced S(t)imulator for Cleft Palate Repair Techniques

2009 ◽  
Vol 46 (1) ◽  
pp. 1-5 ◽  
Author(s):  
Krisztián Nagy ◽  
Maurice Y. Mommaerts

Objective: Our aim was to create a simple, inexpensive, reproducible, and life-size model of the oral cavity of a cleft palate patient. A step-by-step description of the assembly of our cleft palate simulator and its usefulness is presented. Materials: This model was made with readily available components, such as alginate impression material, impression plaster, paper template, latex examination gloves, ink pad, disposable water cup, rubber dam, rubber band, and water-based and fast-setting glue. Result: Repeated trials showed that the model can be assembled in a fast and straightforward way. The model was appropriate for simulating the structure of a cleft palate, and the Furlow double-opposing Z-plasty could be readily performed on this model. Conclusion: Our cleft palate simulator enables both the novice and keen cleft surgeons to simulate the intraoral situation of a cleft palate patient and to stimulate them to practice surgical techniques of palatal repair.

2021 ◽  
Vol 16 (3) ◽  
pp. 47-53
Author(s):  
Yu.V. Stebeleva ◽  
◽  
Ad.A. Mamedov ◽  
Yu.O. Volkov ◽  
A.B. McLennan ◽  
...  

Surgical repair of cleft palate is quite difficult because it aims not only to eliminate the anatomical defect of the palate, but also to ensure normal functioning, including speech. Moreover, successful surgery implies no or minimal deformation of the middle face that can be corrected in the late postoperative period. No doubt that primary surgery (both in terms of technique and time) is crucial for further growth and development of the maxilla. However, surgical techniques and the age of primary cleft palate repair vary between different clinics, which makes this literature review highly relevant. Key words: cleft palate repair, cleft palate, congenital cleft lip and palate


2008 ◽  
Vol 36 ◽  
pp. S171
Author(s):  
K. Nagy ◽  
M.Y. Mommaerts ◽  
C. De Clercq

2002 ◽  
Vol 126 (5) ◽  
pp. 518-523 ◽  
Author(s):  
Edward Gardner ◽  
John L. Dornhoffer

OBJECTIVE: Because of continued eustachian tube abnormalities, the presence of a cleft palate repair has been thought to be associated with poor outcomes after tympanoplastic surgery. However, little published data exist regarding the results of major otologic surgery in patients with cleft palate. The objective of this study was to review our results of otologic surgery in these patients and compare results with those of age- and procedure-matched controls. METHODS: Our otologic database was used to identify patients with a repaired cleft palate who underwent otologic surgery between March 1994 and December 1999. Two control patients were identified for each cleft palate patient. Results of hearing, graft take, and need for postoperative pressure-equalizing tubes were compared. RESULTS: No significant difference existed between patients with a repaired cleft palate and control patients with regard to postoperative air-bone gap ( P = 0.6805), graft survival rate ( P = 1.00), and need for postoperative intubation ( P = 0.457). CONCLUSION: Results in patients with cleft palate appear to be similar to those in patients without cleft palate.


2009 ◽  
Vol 124 (3) ◽  
pp. 899-906 ◽  
Author(s):  
Evan B. Katzel ◽  
Patrick Basile ◽  
Peter F. Koltz ◽  
Jeffrey R. Marcus ◽  
John A. Girotto

2013 ◽  
Vol 59 (6) ◽  
pp. 302-305 ◽  
Author(s):  
Stoicescu Simona ◽  
Enescu Dm

Abstract Introduction: Although cleft lip and palate (CLP) is one of the most common congenital malformations, occurring in 1 in 700 live births, there is still no generally accepted treatment protocol. Numerous surgical techniques have been described for cleft palate repair; these techniques can be divided into one-stage (one operation) cleft palate repair and two-stage cleft palate closure. The aim of this study is to present our cleft palate team experience in using the two-stage cleft palate closure and the clinical outcomes in terms of oronasal fistula rate. Material and methods: A retrospective analysis was performed on medical records of 80 patients who underwent palate repair over a five-year period, from 2008 to 2012. All cleft palate patients were incorporated. Information on patient’s gender, cleft type, age at repair, one- or two-stage cleft palate repair were collected and analyzed. Results: Fifty-three (66%) and twenty-seven (34%) patients underwent two-stage and one-stage repair, respectively. According to Veau classification, more than 60% of them were Veau III and IV, associating cleft lip to cleft palate. Fistula occurred in 34% of the two-stage repairs versus 7% of one-stage repairs, with an overall incidence of 24%. Conclusions: Our study has shown that a two-stage cleft palate closure has a higher rate of fistula formation when compared with the one-stage repair. Two-stage repair is the protocol of choice in wide complete cleft lip and palate cases, while one-stage procedure is a good option for cleft palate alone, or some specific cleft lip and palate cases (narrow cleft palate, older age at surgery)


2017 ◽  
Vol 28 (4) ◽  
pp. 909-914
Author(s):  
Rachel Skladman ◽  
Lynn Marty Grames ◽  
Gary Skolnick ◽  
Dennis C. Nguyen ◽  
Sybill D. Naidoo ◽  
...  

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