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Simple Technique Overcoming a Persistent Problem in Cleft Palate Repair.
S M Kotrashetti1, Gunjan Dube2, Bhushan Thakkar3
1Department of Oral and Maxillofacial Surgery, KLE'S Vishwanathkatti Institute of Dental Sciences, Belgaum, Karnataka India.
Journal of Maxillofacial and Oral Surgery
|November 12, 2016
Summary
A novel technique using a rubber dam sheet with Dingmans mouth gag can prevent suture tethering during cleft palate repair. This simple method may also reduce operative time for surgeons.
Area of Science:
- Surgical techniques
- Cleft palate repair
- Pediatric surgery
Background:
- Cleft palate repair commonly utilizes a mouth gag, with the Dingmans mouth gag being a frequent choice.
- Beginner surgeons may encounter challenges with suture tethering on the Dingmans mouth gag during palatal tissue repair.
Purpose of the Study:
- To present a simple, cost-effective technique to prevent suture adherence during cleft palate repair using a mouth gag.
- To address the demerit of suture tethering associated with the Dingmans mouth gag, particularly for less experienced surgeons.
Main Methods:
- A straightforward technique involving the application of a rubber dam sheet to cover the frame of the mouth gag is described.
- This method aims to create a smoother surface, preventing sutures from snagging on the instrument.
Main Results:
- The described technique offers a simple and economical solution to mitigate suture adherence issues.
- Potential for reduced operative time is suggested, though further studies are needed for validation.
Conclusions:
- The rubber dam sheet technique provides an effective way to overcome suture tethering during cleft palate repair.
- This approach may lead to improved surgical efficiency and potentially shorter operation durations in cleft palate surgeries.
