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Pierre Robin sequence (PRS) is a rare congenital abnormality that may be classified as a first branchial arch syndrome. Patients with PRS who present with cleft palate have a deformity to the soft or hard palate of the maxilla that is repaired within the first year of birth. Despite the repair, patients may experience oronasal complications. Surgical repair is usually necessary if palatal fistula presents, and prosthetic obturators are used to provide temporary relief prior to surgery. This case report outlines the steps in the successful fabrication of a custom-fitted temporary vacuum-formed prosthetic obturator using computer-aided design technology to provide a more comfortable and effective treatment option for the patient.
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http://dx.doi.org/10.1177/1055665620982809 | DOI Listing |
Cleft Palate Craniofac J
September 2025
Otorhinolaryngology-Head and Neck Surgery Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
ObjectiveTo compare between L pharyngeal flap alone and combined L pharyngeal flap with phenytoin for repair of palatal fistula and velopharyngeal insufficiency (VPI).MethodsTwenty patients with soft palate fistula and persistent VPI who were divided into two groups. In the first group, superiorly based L pharyngeal flap was harvested from the oropharynx and inserted into the soft palate to close the fistula after fistula trimming.
View Article and Find Full Text PDFPlast Reconstr Surg
September 2025
Department of Communication Sciences and Disorders, University of Utah, Salt Lake City, Utah.
Background: There remains significant uncertainty about the fistula rate following palate repair with the Furlow double opposing Z-plasty (Furlow) technique compared to a straight-line mucosal incision with intravelar veloplasty (straight-line/IVVP) technique. Moreover, the relative impact of technique and surgical skill on fistula incidence remains unclear.
Methods: A prospective, observational study of cleft palate repair was conducted.
Background: Numerous surgical approaches are useful to treat palatal fistulas secondary cleft palate deformities. Regional flaps have been described for secondary reconstruction of cleft palate, so the facial artery musculo mucosal (FAMM) flap and the buccinator myomucosal flap are examples. The aim of this study is to assess the complication rate of 2 different flaps for fistula repair.
View Article and Find Full Text PDFStomatologiia (Mosk)
September 2025
Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia.
Objective: Improving the effectiveness of primary surgery of uranoplasty and re-reconstruction of the palate in patients with cleft palate through the use of an axial flap of the fat body of the cheek.
Material And Methods: In the period from 2023-2024, 41 patients with cleft palate aged from 1 to 19 years were operated on. Of these, 28 people had a flap of the cheek fat body used in risk groups during primary uranoplasty (group 1) and in 13 patients to eliminate postoperative palate defects of various localization and extent (group 2).
Arch Craniofac Surg
August 2025
Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea.
Mucoperiosteal flap necrosis is a rare but serious complication following cleft palate repair, often resulting in the formation of oronasal fistulas. Although several factors-such as excessive flap tension, pedicle injury, infection, and hematoma-have been implicated in its pathogenesis, the precise mechanisms remain poorly understood. Herein, we report two nonsyndromic siblings with complete bilateral cleft lip and palate, both of whom developed anterior mucoperiosteal flap necrosis on postoperative day 5 after primary palatoplasty performed with a same two-flap technique incorporating a vomer flap.
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