A 9- month - old Sri Lankan baby boy with unilateral cleft lip and palate was brought to our hospital by his parents for palate repair. He was previously operated for primary lip repair.
Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the palate repair using Palatal pushback technique. Incision was made in the mid-vomerine region and a palatal flap was raised from right & left side. The Levator palatine muscles were detached from their abnormally attached positions and reattached into normal position like a hammock. Extreme care was taken to avoid any damage to the greater palatine vessels and developing tooth buds.
A two layer closure was done. The nasal floor was closed with the vomerine flap making a reverse knot. Oral layer was sutured by vertical mattress sutures. The suction test was positive which guarantees good speech. Subsequent cleft management will be done in future.
Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the palate repair using Palatal pushback technique. Incision was made in the mid-vomerine region and a palatal flap was raised from right & left side. The Levator palatine muscles were detached from their abnormally attached positions and reattached into normal position like a hammock. Extreme care was taken to avoid any damage to the greater palatine vessels and developing tooth buds.
A two layer closure was done. The nasal floor was closed with the vomerine flap making a reverse knot. Oral layer was sutured by vertical mattress sutures. The suction test was positive which guarantees good speech. Subsequent cleft management will be done in future.
RSS Feed