BILATERAL CLEFT PALATE REPAIR BY USING TONGUE FLAP FOLLOWED BY ALVEOLAR BONE GRAFTING - A CASE REPORT

A clinical case of bilateral cleft palate repair using previous tongue flap followed by Alveolar Bone Grafting(ABG). After pre-surgical orthodontics a surgical procedure whereby previous tongue Flaps were reflected, nasalbeds were prepared on both sides. A cortico-cancellous bone of 2 cm was harvested from iliac crest and grafted inclefts. Patient is kept on follow up to monitor healing, postoperative results and any post- operative complication.

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Achieving Complete Nasal Lining Closure at Primary Cleft Palate Repair When the Lesser Segments Have Collapsed

FACE ◽

10.1177/27325016211048907 ◽

2021 ◽

pp. 273250162110489

Author(s):

Mert Calis ◽

Raymond W. Tse

Keyword(s):

Cleft Palate ◽

Bone Grafting ◽

Alveolar Bone ◽

Palatal Shelf ◽

Alveolar Bone Grafting ◽

Medial Pterygoid ◽

Cleft Palate Repair ◽

Palate Repair ◽

Inside Out ◽

Anatomic Relationship

Obtaining a tension-free 2-layer anatomic closure at cleft palate repair reduces risks of fistula and facilitates later alveolar bone grafting. Anterior nasal lining closure can be one of the most challenging aspects of repair but is rarely discussed. We present our approach to palatoplasty for BCLP and additional technical maneuvers for closure in the unfavorable configuration when the lesser segments are collapsed against the vomer: “inside-out” approach along the cleft margin provides access for accurate incision; elevation of medial pterygoid mucoperiosteum provides access further anteriorly to separate nasal lining from palatal shelf; mobilization of lining off of bone when 2 structures are in apposition opens a space for access; nasal lining can be drawn into view with a hook; and the nasal lining closure can be passed back through the space to heal in an anatomic relationship, cephalic to the bony shelves.

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Cleft Palate Repair, Gingivoperiosteoplasty, and Alveolar Bone Grafting

Facial Plastic Surgery Clinics of North America ◽

10.1016/j.fsc.2016.06.005 ◽

2016 ◽

Vol 24 (4) ◽

pp. 467-476 ◽

Cited By ~ 4

Author(s):

Ashley M. Dao ◽

Steven L. Goudy

Keyword(s):

Cleft Palate ◽

Bone Grafting ◽

Alveolar Bone ◽

Alveolar Bone Grafting ◽

Cleft Palate Repair ◽

Palate Repair

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Evaluation of Alveolar Bone Grafting: A Survey of ACPA Teams

The Cleft Palate-Craniofacial Journal ◽

10.1597/03-045.1 ◽

2005 ◽

Vol 42 (1) ◽

pp. 99-101 ◽

Cited By ~ 37

Author(s):

Ananth S. Murthy ◽

James A. Lehman

Keyword(s):

North America ◽

Cleft Palate ◽

Bone Grafting ◽

Iliac Crest ◽

Alveolar Bone ◽

Donor Site ◽

X Rays ◽

Alveolar Bone Grafting ◽

Missing Tooth

Objective To evaluate the management of alveolar clefts by cleft palate and craniofacial teams in North America. Design An anonymous survey was mailed to 240 American Cleft Palate– Craniofacial Association teams across North America regarding alveolar bone grafting. The questionnaire included multiple questions about each team's approach to alveolar bone grafting and options for the missing tooth. Results Consensus was achieved in three areas: 90% of centers performed secondary alveolar bone grafting, 78% performed grafting between ages 6 and 9 years, and iliac crest donor site was the most popular site (83%). There was no consensus with respect to dental criteria for the timing of grafting, follow-up x-rays, or the use of a grading system for evaluating results. In addition, there was no consensus on the management of the missing tooth. Conclusion There is wide acceptance of secondary bone grafting and there is a consensus for the age of grafting (6 to 9 years) and donor site (iliac crest). The disturbing finding was the lack of postoperative x-ray evaluation of the results. With so much variability in management, the use of a routine, standardized scale to measure postoperative results would allow for better outcome studies in alveolar bone grafting.

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