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Submucous Cleft Palate for Langenbeck Repair

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Surgical Atlas of Cleft Palate and Palatal Fistulae

Abstract

Submucous cleft palate occurs due to lack of normal fusion of the muscles within the soft palate area when the baby is developing in the uterus. Its incidence is 1 in 1200 child births. It happens due to insult from environmental factors as well as genetic mutations (22q11.2 deletion syndrome).

A patient having submucous cleft palate may have one or all of the following findings:

  • Wide or bifid uvula

  • Translucent tissues at the middle of the soft or hard palate

  • Bony botch in the hard palate

Diagnosis of submucous cleft palate may be missed at birth. When the child does not speak well, it may be revealed that this speech problem is due to submucous cleft palate. Some kids may feel difficulty during breast feed or have frequent nasal regurgitation. The child’s speech exhibits hypernasality. Treatment should be sought from an expert plastic surgeon.

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References

  • Abdel-Aziz M (2007) Treatment of submucous cleft palate by pharyngeal flap as a primary procedure. Int J Pediatr Otorhinolaryngol 71:1093–1097

    Article  Google Scholar 

  • Abyholm FE (2009) Submucous cleft palate. Scand J Plast Surg:209–212. Published online 08 Jul 2009

    Google Scholar 

  • Bardach J (1995) Two-flap palatoplasty: Bardach’s technique. Oper Tech Plast Reconstr Surg 2(4):211–214

    Article  Google Scholar 

  • Calnan JS (1954) Submucous cleft palate, brit. J Plast Surg 6:264–282

    Article  CAS  Google Scholar 

  • Gill N, Fayyaz GQ (2021) Primary pharyngeal flap with palate repair improves speech outcome in older children and adults: a comparative study. Ann Plast Surg 86(5):540–546

    Article  CAS  Google Scholar 

  • Gosain AK (1996) Submucous cleft palate: diagnostic methods and outcomes of surgical treatment. Plast Reconstruct Surg 97(7):1497–1509, Jul;35(4):351–8

    Article  CAS  Google Scholar 

  • Hult J (2018) A waiting time of 7 min is sufficient to reduce bleeding in oculoplastic surgery following the administration of epinephrine together with local anaesthesia. Acta Ophthalmol 96:499–502

    Article  CAS  Google Scholar 

  • Kelly AB (1910) Congenital insufficiency of palate. Laryng Otol 25(281)

    Google Scholar 

  • Kim SW (2007) Furlow palatoplasty in submucous cleft palate-timing of operation. Arch Plast Surg 34(6):741–747

    Google Scholar 

  • Langenbeck von B (1986) Operation derangeboren entotal enspal tendeshasten Gauinens nach einer neuen Methode. Deutsch KIm 8:231

    Google Scholar 

  • Mardini S (2016) Predictors of success in Furlow palatoplasty for submucous clefts: an experience with 91 consecutive patients. Plast Reconstr Surg 137(1):135e–141e(7)

    Article  CAS  Google Scholar 

  • Mori Y (2013) Submucous cleft palate: variations in bony defects of the hard palate. Br J Oral Maxillofac Surg 51(8):e220–e223

    Article  Google Scholar 

  • Park S (1994) The pattern of palatal rugae in submucous cleft palates and isolated cleft palates. Br J Plast Surg 47(6):395–399

    Article  CAS  Google Scholar 

  • Reiter R (2011) The submucous cleft palate: diagnosis and therapy. Int J Pediatr Otorhinolaryngol 75:85–88

    Article  CAS  Google Scholar 

  • Ren S (2015) Bony defect of palate and vomer in submucous cleft palate patients. Int J Oral Maxillofac Surg 44:63–66

    Article  CAS  Google Scholar 

  • Roux JP (1825) Memoires sur Staphylorraphie. J. S., Chaude, Paris, p 84

    Google Scholar 

  • Sommerlad BC (2003) A technique for cleft palate repair. Plast Reconstr Surg 112:1542–1548

    Article  Google Scholar 

  • Sommerlad BC (2004) Submucous cleft palate: a grading system and review of 40 consecutive submucous cleft palate repairs. Cleft Palate Craniofac J 41(2):114–123

    Article  Google Scholar 

  • Stal S (1998) Classic and occult submucous cleft palates: a histopathologic analysis. Cleft Palate Craniofac J 35(4):351–358

    Article  CAS  Google Scholar 

  • Ten Dam E (2013) Age of diagnosis and evaluation of consequences of submucous cleft palate. Int J Pediatr Otorhinolaryngol 77:1019–1024

    Article  Google Scholar 

  • Trier WC, Dreyer TM (1984) Primary Von Langenbeck palatoplasty with levator reconstruction: rationale and technique. Cleft Palate J 21(4):254–262

    CAS  PubMed  Google Scholar 

  • White W (1972) Submucous cleft palate, its incidence, natural history and indications for treatment. Plast Reconstruct Surg 49(3):297–304

    Article  Google Scholar 

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Fayyaz, G.Q., Gill, N.A. (2022). Submucous Cleft Palate for Langenbeck Repair. In: Fayyaz, G.Q. (eds) Surgical Atlas of Cleft Palate and Palatal Fistulae. Springer, Singapore. https://doi.org/10.1007/978-981-15-3889-6_113-1

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  • DOI: https://doi.org/10.1007/978-981-15-3889-6_113-1

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-15-3889-6

  • Online ISBN: 978-981-15-3889-6

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