Abstract

ROSSELL-PERRY, P.; COTRINA-RABANAL, O.  and  CACERES-NANO, E.. New approach to the surgical treatment of congenital cleft palate. Cir. plást. iberolatinoam. [online]. 2015, vol.41, n.4, pp.409-417. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922015000400008.

The purpose of this study is to compare the results of the surgical treatment of cleft palate obtained using 2 different protocols. We conduct a retrospective study comparing a protocol A, using one surgical technique to address all cleft types, and a protocol B, using different surgical techniques according to our proposed classification, and determining the number of fistulas and velopharyngeal insufficiency obtained using each protocol. We have seen statistically significant differences in the number of palatal fistulas between the two protocols, on behalf of protocol B (p: 0.0001). We have not seen statistically significant differences in the number of velopharyngeal insufficiency cases between the two protocols (p: 0.64) In summary, we observed less number of fistulas using the individualized protocol (protocol B) in the surgical treatment of cleft palates showing the efficacy of the proposed classification and used techniques. These conclusions support our proposal in this article with the new classification and individualized surgical protocol.

Keywords : Cleft palate; Primary palatoplasty; Velopharyngeal insufficiency.

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