Rossell Perry, Percy Eduardo

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Rossell Perry, Percy Eduardo
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2014 - 2019132020 - 202568

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    Anatomy and Physiology
    (2024-01-01)
    Rossell Perry, Percy Eduardo  
    Cleft lip and palate is the most common congenital craniofacial disease. Multiple studies have shown that the medial nasal process remains centralized and fails to fuse with the lateral maxillary process during their development, resulting in the characteristic...
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    About a “New” Technique for Uvular Repair
    (2019-12-13)
    Percy Rossell‐Perry  
    titled: "The significance of uvula after palatoplasty: A new technique to improve the aesthetic outcome" published by Elsherbiny et al (Cleft Palate Craniofacial J 2018;55(3):451-455). The authors present the use of one hemi-uvula for uvular repair during primary palatoplasty as their "new technique." The method of primary uvuloplasty using one-hemiuvula was extensively used by different surgeons in south America and presented and published in different scientific meetings and indexed scientific journals since the 90s. The original concept was described by Carlos Navarro in Perú and published by me in different scientific indexed journals and a textbook.
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    Cleft Palate Repair Surgical Complications Following Buccinator Myomucosal Flap Surgery
    (2025-09-01)
    Rossell Perry, Percy Eduardo  
    ;
    Romero-Narvaez, Carolina
    BACKGROUND: The buccinator musculomucosal flap was found to be a useful alternative for palatal fistula and velopharyngeal insufficiency repair. This surgical technique has become increasingly common in the surgical management of secondary cleft palate deformities during the last years; however, few studies have been published documenting associated postoperative complications.The present study was carried out to present a case series and describe observed surgical complications associated with this technique used by the authors. METHODS: This is a retrospective outcome study of patients with sequels after primary cleft palate repair (palatal fistulas, flap necrosis, or velopharyngeal insufficiency) admitted to our center and operated by a single surgeon using the buccinator flap from 2017 to July 2024.A review of the literature for studies published until November 2024 was performed to evaluate postoperative complications after using this technique. RESULTS: A total of 42 cleft palate patients with postoperative sequels have been operated using the buccinator musculomucosal flap by a single surgeon (P.R.P.) from 2017 to 2024.The most common cleft palate sequel after primary cleft palate repair in this series was the mucoperiosteal flap necrosis 10/42 (23.8%), velopharyngeal insufficiency 21/42 (50%) and palatal fistula 11/42 (26.19%).The most common complications after buccal myomucosal flap surgery were flap dehiscence and partial flap necrosis in 13 (30.95%) and 8 (19.04%) of patients, respectively. CONCLUSIONS: Buccinator (buccal) flap is an alternative for reconstruction of cleft palate sequels; however, their potential complications are not rare and should be prevented.
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    Rotational Composite Flap Technique for Primary Incomplete Cleft Nose Deformity
    (2020-06-01)
    Percy Rossell‐Perry  
    BACKGROUND: Nasal deformities accompanying unilateral incomplete cleft lip have minor skeletal and soft tissue deficiencies compared with deformities associated with unilateral complete cleft lip. Extended dissection and surgical incisions (often required for nasal deformities in complete cleft lip) are not recommended to address deformities accompanying incomplete cleft lip. The purpose of this study is to describe an innovative method involving a rotational composite flap for nasal repair in patients with unilateral cleft lip. METHODS: Since 2016, 49 consecutive patients with unilateral incomplete cleft lip have undergone primary anatomical repair of accompanying nasal deformities. The technique involves a skin incision along the marginal and intercartilaginous borders to create a V-shaped composite flap consisting of vestibular skin and alar cartilage. Rotational mobilization of the composite flap creates a triangular raw surface laterally, which is closed by advancement of the vestibular skin. RESULTS: This innovative method, which is based on the use of a rotational composite vestibular flap, achieves proper symmetry of the repaired nose. CONCLUSION: The herein described composite flap rhinoplasty is a good surgical option, which provides a good overall nasal symmetry in patients with nasal deformities accompanying unilateral incomplete cleft lip.
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    Discussion of Furlow Palatoplasty and Tonsillectomy for Treating Patients with Submucous Cleft Palate and Tonsilar Hypertrophy: A One-Stage Procedure
    (2022-08-09)
    Rossell Perry, Percy Eduardo  
    Research Professor Health of Science Faculty School of Human Medicine, Peruvian University Union (UpeU) Lima Peru, President South American Medical Advisory Council Smile Train Foundation USA The author reports no conflicts of interest. Address correspondence and reprint requests to: Percy Rossell-Perry, PhD, FACS, Schell St No 120 Apt 1503 Miraflores, LIMA 18, PERU; E-mail: [email protected]; [email protected]
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