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220456

A New Application of the Vomerine Flap for Repair of Unilateral Complete Cleft Hard and Soft Palate: A Proposed Single Stage Technique

Article

Last updated: 25 Dec 2024

Subjects

-

Tags

Congenital anomalies

Abstract

Background: The study proposes double layer vomer flaps technique for closure of unilateral complete cleft palate and shows the preliminary outcome of that technique after one year. Patients and Methods: Twenty patients with nonsyndromic unilateral complete cleft lip and palate, aged 9-15 months were operated randomly in this study. They were submitted for double layer vomer flaps technique for closure of unilateral complete cleft palate. Follow-up continued for one-year post-operative for each patient. Healing and functional outcomes are assessed objectively and subjectively. Approval of Institutional ethical Committee has been obtained. Results: All patients showed sound healing and functional outcome repair after single stage interference. Only one patient revealed partial uvular disruption. Otherwise, no reported cases revealed complete disruption, marked scarring or fistula either in hard or soft palate. Conclusions: This study proposes a technique for the unilateral complete cleft palate repair in a single stage by using double layer vomer flaps with closure without tension. This technique has a less invasive approach and minimizes the dissection of palatal mucoperiosteal flaps, and no lateral hard palatal incision and subsequently no denuded bones and less blood loss. The technique could have a positive outcome that has very minimal or even no risk of mid-face hypoplasia and its subsequent squeals.

DOI

10.21608/ejprs.2022.220456

Keywords

proposed technique, vomer flaps, Minimal invasive

Authors

First Name

Osama

Last Name

Al Shahat

MiddleName

-

Affiliation

The Department of Plastic Surgery and Burn, Faculty of Medicine, Al-Azhar University

Email

osamaalshahat@yahoo.com

City

Cairo

Orcid

-

First Name

Mohamed

Last Name

Khalifa

MiddleName

Hosny

Affiliation

The Department of Plastic Surgery and Burn, Faculty of Medicine, Al-Azhar University

Email

mohamedhosny.6@azhar.edu.eg

City

Kafr El Sheikh

Orcid

0000-0002-6255-002X

First Name

Mohamed

Last Name

Ouf

MiddleName

Osama

Affiliation

The Department of Plastic Surgery and Burn, Faculty of Medicine, Al-Azhar University

Email

-

City

Cairo

Orcid

-

First Name

Ahmed

Last Name

Salem

MiddleName

Mohamed

Affiliation

The Department of Plastic Surgery and Burn, Faculty of Medicine, Al-Azhar University

Email

-

City

Cairo

Orcid

-

First Name

Sherif

Last Name

Hamdina

MiddleName

Youssif

Affiliation

The Department of Plastic Surgery and Burn, Faculty of Medicine, Al-Azhar University

Email

-

City

Cairo

Orcid

-

First Name

Yasser

Last Name

Helmy

MiddleName

-

Affiliation

The Department of Plastic Surgery and Burn, Faculty of Medicine, Al-Azhar University

Email

dryasserhelmy@azhar.edu.eg

City

Cairo

Orcid

-

Volume

46

Article Issue

1

Related Issue

31427

Issue Date

2022-01-01

Receive Date

2021-01-19

Publish Date

2022-01-01

Page Start

83

Page End

88

Print ISSN

1110-0044

Online ISSN

2974-4709

Link

https://ejprs.journals.ekb.eg/article_220456.html

Detail API

https://ejprs.journals.ekb.eg/service?article_code=220456

Order

13

Type

Original Article

Type Code

1,110

Publication Type

Journal

Publication Title

The Egyptian Journal of Plastic and Reconstructive Surgery

Publication Link

https://ejprs.journals.ekb.eg/

MainTitle

A New Application of the Vomerine Flap for Repair of Unilateral Complete Cleft Hard and Soft Palate: A Proposed Single Stage Technique

Details

Type

Article

Created At

22 Jan 2023