Using MRI and Nasopharyngeal Endoscopy for Assessment of Soft Palate Following Cleft Palate Surgical Repair Using Two Surgical Techniques

Awadd, Maiada M.; Hassan, Susan A.; Al Ahmady, Hatem H.; Mohamed, Ahmed A.

doi:10.21608/adjg.2020.13289.1154

Using MRI and Nasopharyngeal Endoscopy for Assessment of Soft Palate Following Cleft Palate Surgical Repair Using Two Surgical Techniques

Document Type : Original Article

Authors

¹ Assistant Lecturer of Oral and Maxillofacial Surgery, Faculty of Dental Medicine for Girls, Al- Azhar University , Cairo, Egypt.

² Professor of Oral and Maxillofacial Surgery, Faculty of Dental Medicine for Girls, Al-Azhar University , Cairo, Egypt.

³ Professor and Head of Oral and Maxillofacial Surgery Department, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egypt.

⁴ Professor of Phonetics, Department of ENT, Faculty of Medicine, Ain Shams University , Cairo, Egypt.

10.21608/adjg.2020.13289.1154

Abstract

Purpose: to compare and assess the results obtained by using 2 different surgical techniques that utilize two stage palatoplasty to repair the palate, Furlow’s technique and intravelar veloplasty. Material and Methods: This study was performed on 14 patients suffering from cleft palate, patients were divided into 2 groups, in group I Furlow’s technique was used in palatal repair, in group II IVVP technique was used in palatal repair. All cases were selected from the Outpatient Clinic of the Faculty of Dental Medicine, Al-Azhar University for Girls. Results: Postoperative results of the MRI showed that the velum and the length of the muscle has become longer in each group, even though, there was no significant change between both techniques. The postoperative results of the nasopharyngeal endoscope proved that the increase in the levator muscle length increased the movement of the velum, in each group, however, between both group there was no significant difference. Conclusions: Both Furlow palatoplasty and intravelar veloplasty are efficient techniques that can be used in the repair of cleft soft palate. Both techniques can lengthen the soft palate together with palatal muscle reorientation; without the need to raise large mucoperiosteal flaps from the hard palate. Both techniques, with their modifications had shown success in the primary closure of different varieties and sizes of cleft gaps. The two stage palatoplasty can eliminate the need to raise large mucoperiosteal flaps from the hard palate.

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