Table of Contents
ISRN Plastic Surgery
Volume 2013 (2013), Article ID 954576, 5 pages
http://dx.doi.org/10.5402/2013/954576
Clinical Study

Simultaneous Repair of Cleft Hard Palate by Vomer Flap along with Cleft Lip in Unilateral Complete Cleft Lip and Palate Patients

1Division of Pediatric Surgery, Dhaka Shishu (Children) Hospital, Dhaka, Bangladesh
2Burn and Plastic Surgery Unit, Dhaka Medical College and Hospital, Dhaka, Bangladesh
3Department of Plastic Surgery, Dhaka Medical College and Hospital, Dhaka, Bangladesh
4The Smile Train-Shohai Bangladesh Cleft Project, Dhaka, Bangladesh
5Department of Pediatric and Plastic Surgery, ZH Sikder Women’s Medical College and Hospital, Dhaka, Bangladesh

Received 7 October 2012; Accepted 25 October 2012

Academic Editors: M. Okazaki and E. Raposio

Copyright © 2013 Kazi Md. Noor-ul Ferdous et al. 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.

Abstract

The purpose of the study was to see the short-term outcome of simultaneous repair of cleft lip and cleft hard palate with vomer flap against cleft lip repair alone in patients with unilateral complete cleft lip and palate (UCLP). A prospective observational study was carried out in 35 patients with unilateral complete cleft lip and palate who under-went cleft lip and cleft hard palate repair with vomer flaps simultaneously. After 3 months, cleft soft palate was repaired. During 1st and 2nd operations, the gap between cleft alveolus and posterior border of the cleft hard palate was measured. Postoperative complications, requirement of blood transfusion during the operation, and duration of operations were also recorded. Simultaneous repairs of cleft lip and closure of cleft hard palate with vomer flaps are easy to perform and are very effective for the repair of cleft lip and palate in UCLP patients. No blood transfusion was needed. Gaps of alveolar cleft and at the posterior border of hard palate were reduced remarkably, which made the closure of the soft palate easier, decreased operation time, and also decreased the chance of oronasal fistula formation.