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BioMed Research International
Volume 2015, Article ID 516375, 14 pages
Review Article

Flap Necrosis after Palatoplasty in Patients with Cleft Palate

1Post Graduate Studies, School of Medicine, San Martin de Porres University, Lima, Peru
2“Outreach Surgical Center Lima PERU” ReSurge International, Schell Street No. 120 Apartment 1503 Miraflores, Lima, Peru

Received 3 November 2014; Accepted 4 December 2014

Academic Editor: Antonio Ysunza

Copyright © 2015 Percy Rossell-Perry. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Palatal necrosis after palatoplasty in patients with cleft palate is a rare but significant problem encountered by any cleft surgeon. Few studies have addressed this disastrous complication and the prevalence of this problem remains unknown. Failure of a palatal flap may be attributed to different factors like kinking or section of the pedicle, anatomical variations, tension, vascular thrombosis, type of cleft, used surgical technique, surgeon’s experience, infection, and malnutrition. Palatal flap necrosis can be prevented through identification of the risk factors and a careful surgical planning should be done before any palatoplasty. Management of severe fistulas observed as a consequence of palatal flap necrosis is a big challenge for any cleft surgeon. Different techniques as facial artery flaps, tongue flaps, and microvascular flaps have been described with this purpose. This review article discusses the current status of this serious complication in patients with cleft palate.