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Updated: Jul 10, 2025

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery
Published on: September 22, 2023
Revision Palate Surgery
Neal Deot1, Sherard Austin Tatum1
1Department of Otolaryngology, Upstate Medical University, Syracuse, NY, USA.
Abstract:
Oronasal fistulae and velopharyngeal insufficiency are common and interdependent complications after cleft palate surgery. Bone grafting can complement cleft habilitation. Early identification and intervention are vital for optimal outcomes. Collaboration with experienced healthcare professionals is crucial to develop a comprehensive treatment plan which considers speech therapy, prosthetic devices, and surgery. This article aims to review the current literature on the management of VPI and oronasal fistulae following cleft palate surgery and additionally highlight the role of alveolar bone grafting to improve outcomes for these patients.
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