Revision Palate Surgery

Facial Plast Surg Clin North Am. 2024 Feb;32(1):63-68. doi: 10.1016/j.fsc.2023.05.003. Epub 2023 Jun 28.

Abstract

Oronasal fistulae and velopharyngeal insufficiency are common and interdependent complications after cleft palate surgery. Bone grafting can complement cleft habilitation. Early identification and intervention are vital for optimal outcomes. Collaboration with experienced healthcare professionals is crucial to develop a comprehensive treatment plan which considers speech therapy, prosthetic devices, and surgery. This article aims to review the current literature on the management of VPI and oronasal fistulae following cleft palate surgery and additionally highlight the role of alveolar bone grafting to improve outcomes for these patients.

Keywords: Bone grafting; Cleft Surgery; Oronasal fistula; Velopharyngeal insufficiency.

Publication types

  • Review

MeSH terms

  • Bone Transplantation
  • Cleft Palate* / surgery
  • Humans
  • Reoperation