Primary palatorraphy in the adult cleft palate patient. Surgical, prosthetic and logopaedic aspects.
The treatment of 8 adults with untreated cleft palates is retrospectively discussed. A palatorraphy, consisting of a palatoplasty with pedicled palatal mucoperiosteal flaps and an intravelar veloplasty, is performed. A rib graft between the nasal and oral layer and a partial vestibuloplasty are used in a few patients to create a more favourable anatomical situation for the prosthetic appliance. The palatorraphy contributes to improved speech intelligibility however, combined with a pharyngeal flap as performed in 5 patients, an even better result can be achieved. According to the results, a surgical procedure in the adult still seems to be worthwhile.
Dept. of Oral and Maxillo-Facial Surgery, University Hospital Nijmegen, The Netherlands.
T J
TJ
Hoppenreijs
D000328:Adult; D000368:Aged; D016025:Bone Transplantation; D002648:Child; D002972:Cleft Palate / Q000534:rehabilitation / Q000601:surgery*; D003779:Denture Design; D003781:Denture Retention; D003778:Dentures; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009061:Mouth Mucosa / Q000637:transplantation; D010614:Pharynx / Q000601:surgery; D012189:Retrospective Studies; D012272:Ribs; D013070:Speech Therapy; D013524:Surgical Flaps