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Method of Studying Palatal Fusion using Static Organ Culture
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Modified Palatoplasty Method (Busan Modification) for Incomplete Type Cleft Palate.

Yong Chan Bae1, Jae Woo Lee, Hyoung Joon Seo

  • 1*Department of Plastic and Reconstructive Surgery, School of Medicine †Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.

The Journal of Craniofacial Surgery
|June 17, 2015
PubMed
Summary

This study introduces a modified 2-flap palatoplasty for incomplete cleft palate, showing reduced complications and excellent long-term speech and facial growth outcomes. The Busan modification offers a promising approach for cleft palate repair.

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Area of Science:

  • Plastic Surgery
  • Craniofacial Surgery
  • Pediatric Surgery

Background:

  • Cleft palate repair prioritizes levator muscle reapproximation over simple lengthening.
  • The 2-flap palatoplasty is a common technique, but modifications are explored for improved outcomes.

Purpose of the Study:

  • To evaluate a modified 2-flap palatoplasty technique (Busan modification) for incomplete cleft palate.
  • To assess early complications, speech, and facial growth following this modified surgical approach.

Main Methods:

  • A modified 2-flap palatoplasty was performed on 100 nonsyndromic incomplete cleft palate patients (2002-2012).
  • Early postoperative complications were monitored.
  • Speech evaluation (n=36) and cephalometric facial growth measurements (n=28) were conducted up to age 4.

Main Results:

  • A 3% fistula formation rate was observed, with no immediate complications requiring treatment.
  • Speech evaluation scores were high (average 64.2/66), with one case needing corrective surgery for velopharyngeal dysfunction.
  • Cephalometric measurements showed no significant difference compared to the normal population.

Conclusions:

  • The modified 2-flap palatoplasty (Busan modification) demonstrates a lower rate of early postoperative complications.
  • Excellent long-term results in speech and facial growth were observed in the follow-up period.