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A bilateral musculomucosal buccal flap method for cleft palate surgery
1Department of Oral and Maxillofacial Surgery, Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
Summary
This study presents a new bilateral musculomucosal buccal flap technique for cleft palate repair. This method demonstrated satisfactory outcomes and reduced complications in pediatric patients.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Pediatric Surgery
Background:
- Cleft palate repair is a complex surgical challenge.
- Existing techniques may have limitations regarding functional and aesthetic outcomes.
- Need for innovative surgical approaches to improve velopharyngeal function and minimize complications.
Purpose of the Study:
- To introduce and evaluate a novel surgical technique for cleft palate repair.
- To assess the efficacy of the bilateral musculomucosal buccal flap method.
- To determine the impact on velopharyngeal closure and postoperative complications.
Main Methods:
- A cohort of 26 patients (ages 3-12 years) with various cleft palate types underwent repair.
- The surgical technique employed bilateral musculomucosal buccal flaps.
- Patients were followed for 2-8 years, with velopharyngeal closure assessed via nasopharyngoscopy.
Main Results:
- All followed patients achieved satisfactory postoperative results.
- No instances of dehiscence, perforation, or maxillary deformity were observed.
- Velopharyngeal closure was consistently satisfactory across the patient group.
Conclusions:
- The bilateral musculomucosal buccal flap technique is a highly effective method for cleft palate repair.
- This approach appears to reduce the incidence of common postoperative complications.
- The technique shows promise in improving functional outcomes and minimizing growth disturbances.