Flap Necrosis after Palatoplasty in Patients with Cleft Palate.
Palatal necrosis after palatoplasty in patients with cleft palate is a rare but significant problem encountered by any cleft surgeon. Few studies have addressed this disastrous complication and the prevalence of this problem remains unknown. Failure of a palatal flap may be attributed to different factors like kinking or section of the pedicle, anatomical variations, tension, vascular thrombosis, type of cleft, used surgical technique, surgeon's experience, infection, and malnutrition. Palatal flap necrosis can be prevented through identification of the risk factors and a careful surgical planning should be done before any palatoplasty. Management of severe fistulas observed as a consequence of palatal flap necrosis is a big challenge for any cleft surgeon. Different techniques as facial artery flaps, tongue flaps, and microvascular flaps have been described with this purpose. This review article discusses the current status of this serious complication in patients with cleft palate.
Post Graduate Studies, School of Medicine, San Martin de Porres University, Lima, Peru ; "Outreach Surgical Center Lima PERU" ReSurge International, Schell Street No. 120 Apartment 1503 Miraflores, Lima, Peru.
Percy
P
Rossell-Perry
D000293:Adolescent; D017677:Age Distribution; D015984:Causality; D002648:Child; D002675:Child, Preschool; D002971:Cleft Lip / Q000453:epidemiology* / Q000601:surgery*; D002972:Cleft Palate / Q000453:epidemiology* / Q000601:surgery*; D015897:Comorbidity; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D009336:Necrosis / Q000601:surgery; D016155:Oral Fistula; D013517:Otorhinolaryngologic Surgical Procedures / Q000706:statistics & numerical data*; D011183:Postoperative Complications / Q000453:epidemiology; D019651:Plastic Surgery Procedures / Q000706:statistics & numerical data*; D056910:Republic of Korea / Q000453:epidemiology; D012307:Risk Factors; D013524:Surgical Flaps / Q000706:statistics & numerical data; D016896:Treatment Outcome; D055815:Young Adult