A New Application of the Vomerine Flap for Repair of Unilateral Complete cleft hard and Soft palate: A Proposed Single Stage Technique
Al shahat, O., Khalifa, M., Mahmoud ouf, M., Salem, A., Youssif, S., Helmy, Y. (2021). A New Application of the Vomerine Flap for Repair of Unilateral Complete cleft hard and Soft palate: A Proposed Single Stage Technique. EKB Journal Management System, (), -. doi: 10.21608/ejprs.2021.103306.1127
Osama Abed alrahem Al shahat; Mohamed Hosny Khalifa; Mohamed Osama Mahmoud ouf; Ahmed Mohamed Salem; Sherif Hamdino Youssif; Yasser Helmy. "A New Application of the Vomerine Flap for Repair of Unilateral Complete cleft hard and Soft palate: A Proposed Single Stage Technique". EKB Journal Management System, , , 2021, -. doi: 10.21608/ejprs.2021.103306.1127
Al shahat, O., Khalifa, M., Mahmoud ouf, M., Salem, A., Youssif, S., Helmy, Y. (2021). 'A New Application of the Vomerine Flap for Repair of Unilateral Complete cleft hard and Soft palate: A Proposed Single Stage Technique', EKB Journal Management System, (), pp. -. doi: 10.21608/ejprs.2021.103306.1127
Al shahat, O., Khalifa, M., Mahmoud ouf, M., Salem, A., Youssif, S., Helmy, Y. A New Application of the Vomerine Flap for Repair of Unilateral Complete cleft hard and Soft palate: A Proposed Single Stage Technique. EKB Journal Management System, 2021; (): -. doi: 10.21608/ejprs.2021.103306.1127

A New Application of the Vomerine Flap for Repair of Unilateral Complete cleft hard and Soft palate: A Proposed Single Stage Technique

The Egyptian Journal of Plastic and Reconstructive Surgery
Articles in Press, Accepted Manuscript, Available Online from 12 December 2021  XML
Document Type: Original Article
DOI: 10.21608/ejprs.2021.103306.1127
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Authors
Osama Abed alrahem Al shahat1; Mohamed Hosny Khalifa email orcid 2; Mohamed Osama Mahmoud ouf1; Ahmed Mohamed Salem1; Sherif Hamdino Youssif1; Yasser Helmy1
1Al azhar University Faculty of Medicine Cairo for men
22 الحديقه، قسم قصر النيل، محافظة القاهرة‬، مصر
Abstract
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.
Methods: Twenty patients with non-syndromic unilateral complete cleft lip and palate, aged 9-15 months were operated randomly in this study. They 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.
Results: All patients showed sound healing and functional outcome repair after single stage interference. Only one patient from Twenty 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 minimize 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
Keywords
Keywords: Cleft palate; proposed technique; vomer flaps; minimal invasive
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