A revised method of conservative palatoplasty.
A revised method of conservative palatoplasty was performed on 21 patients with isolated cleft palate. The operation was principally based on von Langenbeck's method. The major modifications were that the mucosal layer was dissected instead of the mucoperiosteum and lateral mucosal deficits produced by medial displacement of the dissected mucosal flaps were covered with transpositioned buccal mucosal flaps. Postoperative early results were compared with those of the 23 patients treated by Perko's mucosal flap operation. Our method was found to bring about a relatively long velum comparable to Perko's method and wound healing was more uneventful. Results at the age of 5 years were compared with those of the patients treated by Wardill's mucoperiosteal flap operation as well as with those treated by Perko's method. There were no statistically significant differences among the three groups in the maxillofacial development and speech results.
Ohishi
M
M
First Department of Oral Surgery, Faculty of Dentistry, Kyushu University, Fukuoka, Japan.
Miyanoshita
Y
Y
Suzuki
A
A
Goto
K
K
D002675:Child, Preschool; D002972:Cleft Palate / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008445:Maxillofacial Development; D011182:Postoperative Care; D011300:Preoperative Care; D012086:Reoperation; D013524:Surgical Flaps; D013514:Surgical Procedures, Operative / Q000379:methods