Bad Results in Cleft Palate Surgery

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Cleft palate is a common congenital pathology, and it has a great impact on the quality of life of the patient. Its form of presentation is very varied, and the prognosis of its treatment is in relation to the type of cleft palate and severity. The first step to understand the cleft palate is its classification which allows us a better understanding on how the bad outcomes developed and how to solve them. The present protocol for its treatment is based on the anatomical classification described by Veau and the author’s classification of severity based on the cleft palate index. The observed bad outcomes after cleft palate surgery seem to be related to the severity of the deformity. The most important factors to consider are the degree of congenital hypoplasia, surgeon’s skill and experience, and surgical technique. The most common bad results after cleft palate repair are: Palatal fistulas, velopharyngeal insufficiency, flap necrosis, wound dehiscence, maxillary hypoplasia, and audiological disorders. These conditions require an interdisciplinary intervention to guarantee adequate functional and anatomical repair. This chapter illustrates the different surgical methods described for treatment of the secondary cleft palate deformities.

Original languageEnglish
Title of host publicationAtlas of Non-Desirable Outcomes in Cleft Lip and Palate Surgery
Subtitle of host publicationa Case-Based Guide to Preventing and Managing Complications
PublisherSpringer International Publishing
Pages193-265
Number of pages73
ISBN (Electronic)9783030984007
ISBN (Print)9783030983994
DOIs
StatePublished - 1 Jan 2022
Externally publishedYes

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