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[The uranoplasty of wide clefts in children]
Insights
A novel uranoplasty technique successfully restored palate shape in most children with wide clefts. Long-term follow-up showed satisfactory to good functional outcomes in the majority of patients.
Area of Science:
- Craniofacial Surgery
- Pediatric Surgery
- Plastic Surgery
Abstract:
Sixty children with wide palate clefts (open uni- and bilateral, and complete isolated), aged 2.5-13 years were operated on according to a new uranoplasty technique. The wounds healed by primary tension in 53 children; anatomical shape of the palate was completely restored, the palate elongated, and the pharyngeal ring narrowed. Small (0.2-0.3 sm) open defects in the soft palate remained unhealed in 5 children. Complete failure of sutures was seen in 2 children, when the method was just beginning to be introduced. Late results of treatment were followed up in 40 children over the periods of 6 months to 3 years. Good functional results were achieved in 16, satisfactory in 22, and unsatisfactory in 2 children.