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Submucous cleft palates presenting with a perforation

Felicity V Mehendale1, Brian C Sommerlad

  • 1Great Ormond Street Hospital, London, United Kingdom.

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|February 28, 2003
PubMed

Insights

Perforations in submucous cleft palate (SMCP) are rare but can be the first sign of SMCP. Minor trauma can cause these perforations, which can be repaired during SMCP surgery.

Area of Science:

  • Craniofacial anomalies
  • Pediatric surgery
  • Oral and maxillofacial surgery

Background:

  • Submucous cleft palate (SMCP) is a congenital condition often presenting with subtle or absent overt signs.
  • Palatal perforations are an uncommon but significant complication associated with SMCP.

Observation:

  • This study details four cases of submucous cleft palate with palatal perforations.
  • Two cases reported a history of minor palatal trauma preceding perforation.
  • Neonatal perforations with thin surrounding mucosa showed potential for enlargement.

Findings:

  • Palatal perforation can be the initial clinical manifestation of an undiagnosed submucous cleft palate.
  • The thin central mucosa in SMCP is susceptible to perforation from minor trauma.
  • Perforations do not substantially complicate the surgical management of SMCP.

Implications:

  • Early recognition of SMCP signs and symptoms is crucial for timely intervention.
  • Palatal perforations in SMCP patients can be addressed concurrently with primary surgical repair.
  • This highlights the importance of considering SMCP in cases of palatal perforation, especially after trauma.
Abstract

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