Evaluation of effect of early nasal layer closure on definitive repair in cleft palate patients: An original research

Monal Karkar; Shelly Sharma; Pradnya S Jadhav; Abhimanyu Singh; Nitish Chandra Gupta; Sriram Choudary Nuthalapati

doi:10.53730/ijhs.v6nS1.7676

Authors

Monal Karkar
monalk81290@gmail.com
Assistant Professor, Dept of Oral and Maxillofacial Surgery, Pravara Medical Institute, Rural Dental College, Loni
Shelly Sharma Assistant Professor, Department of Oral and MaxilloFacial Surgery, Subharti Dental College & Hospital, Swami Vivekananda Subharti University, Meerut
Pradnya S Jadhav Assistant Professor, Department of Public Health Dentistry, Government Dental College and Hospital, Aurangabad
Abhimanyu Singh P.G student, Department of Pediatric and Preventive Dentistry, Saraswati Dental College, Lucknow
Nitish Chandra Gupta Assistant Professor, Department of Oral and MaxilloFacial Surgery, Subharti Dental College & Hospital, Swami Vivekananda Subharti University, Meerut
Sriram Choudary Nuthalapati Reader, Dept of Oral & Maxillofacial Surgery, Dhanalakshmi Srinivasan Dental College & Hospital, Siruvachur, Chennai - Trichy national highway, Perambalur, Tamilnadu

Keywords:

Cleft lip, Cleft palate, Nasal layer, Primary repair, Two-stage

Abstract

Introduction: Cleft of lip and palate are most common serial congenital anomalies to affect the orofacial region. It can occur isolated or together in various combination and/or along with other congenital deformities particularly congenital heart diseases. Patient with oro-facial cleft deformity needs to be treated at right time and at right age to achieve functional and esthetic well being. The cleft palate is one of the most common congenital anomalies treated by plastic surgeons. The cleft width increases the tension of repair and necessitates excessive dissection that might affect maxillary growth. Decreasing the width of cleft minimize tension, dissection and may limit the impact on maxillary growth. Objectives: The aim of this study was to evaluate the effect of nasal layer closure of the hard palate at the time of cleft lip repair in patients with complete and incomplete cleft lip and palate, to demonstrate the efficacy of narrowing the gap and to reduce the incidence of fistulae or other complications. Material and Methods: Sixty patients less than 1 year of age were included in this prospective observational study.

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