Modified Medial Incision Small Double-Opposing Z-Plasty for Treating Veau Type I Cleft Palate : Is the Early Result Reproducible?
OBJECTIVE: An inspiring early result with no oronasal fistula formation was recently described for a modified medial incision small double-opposing Z-plasty (MIsDOZ) for treating Veau type I cleft palate. This study describes an early single-surgeon experience in applying this newly proposed surgical approach.
DESIGN: Retrospective single-surgeon study.
PATIENTS: Consecutive nonsyndromic patients (n = 27) with Veau I cleft palate.
INTERVENTIONS: Topographic anatomical-guided MIsDOZ palatoplasty with pyramidal space dissection (releasing of the ligamentous fibers in the greater palatine neurovascular bundle and pyramidal process region, in-fracture of the pterygoid hamulus, and widening of space of Ernst) performed by a novice surgeon (RD).
MEAN OUTCOME MEASURES: Age at surgery, the presence of cleft lip, palatal cleft width, use of lateral relaxing incision, and 6-month complication rate (bleeding, dehiscence, fistula, and flap necrosis). A published senior surgeon-based outcome dataset (n = 24) was retrieved for comparison purposes.
RESULTS: Twenty-two (81.5%) and 5 (18.5%) patients received the medial incision only technique and lateral incision technique, respectively (P = .002). Age, presence of cleft lip, and cleft width were not associated (all P > .05) with the use of lateral incision. Comparative analysis between the novice surgeon- and senior surgeon-based datasets revealed no significant differences for sex (females: 74.1% vs 62.5%; P = .546), age (10.2 ± 1.7 vs 9.6 ± 1.2 months; P = .143), rate of lateral incision (18.5% vs 4.2%; P = .195), and postoperative complication rate (0% vs 0%).
CONCLUSION: This modified DOZ palatoplasty proved to be a reproducible procedure for Veau I cleft palate closure, with reduced need for lateral incision and with no early complication.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:61 |
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| Enthalten in: |
The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association - 61(2024), 2 vom: 08. Feb., Seite 247-257 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Denadai, Rafael [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 27.12.2023 Date Revised 03.04.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1177/10556656221123917 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
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| 245 | 1 | 0 | |a Modified Medial Incision Small Double-Opposing Z-Plasty for Treating Veau Type I Cleft Palate |b Is the Early Result Reproducible? |
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| 500 | |a Date Completed 27.12.2023 | ||
| 500 | |a Date Revised 03.04.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: An inspiring early result with no oronasal fistula formation was recently described for a modified medial incision small double-opposing Z-plasty (MIsDOZ) for treating Veau type I cleft palate. This study describes an early single-surgeon experience in applying this newly proposed surgical approach | ||
| 520 | |a DESIGN: Retrospective single-surgeon study | ||
| 520 | |a PATIENTS: Consecutive nonsyndromic patients (n = 27) with Veau I cleft palate | ||
| 520 | |a INTERVENTIONS: Topographic anatomical-guided MIsDOZ palatoplasty with pyramidal space dissection (releasing of the ligamentous fibers in the greater palatine neurovascular bundle and pyramidal process region, in-fracture of the pterygoid hamulus, and widening of space of Ernst) performed by a novice surgeon (RD) | ||
| 520 | |a MEAN OUTCOME MEASURES: Age at surgery, the presence of cleft lip, palatal cleft width, use of lateral relaxing incision, and 6-month complication rate (bleeding, dehiscence, fistula, and flap necrosis). A published senior surgeon-based outcome dataset (n = 24) was retrieved for comparison purposes | ||
| 520 | |a RESULTS: Twenty-two (81.5%) and 5 (18.5%) patients received the medial incision only technique and lateral incision technique, respectively (P = .002). Age, presence of cleft lip, and cleft width were not associated (all P > .05) with the use of lateral incision. Comparative analysis between the novice surgeon- and senior surgeon-based datasets revealed no significant differences for sex (females: 74.1% vs 62.5%; P = .546), age (10.2 ± 1.7 vs 9.6 ± 1.2 months; P = .143), rate of lateral incision (18.5% vs 4.2%; P = .195), and postoperative complication rate (0% vs 0%) | ||
| 520 | |a CONCLUSION: This modified DOZ palatoplasty proved to be a reproducible procedure for Veau I cleft palate closure, with reduced need for lateral incision and with no early complication | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a nonsyndromic clefting | |
| 650 | 4 | |a palatoplasty | |
| 650 | 4 | |a soft palate | |
| 700 | 1 | |a Seo, Hyung Joon |e verfasserin |4 aut | |
| 700 | 1 | |a Go Pascasio, Dax Carlo |e verfasserin |4 aut | |
| 700 | 1 | |a Sato, Nobuhiro |e verfasserin |4 aut | |
| 700 | 1 | |a Murali, Srinisha |e verfasserin |4 aut | |
| 700 | 1 | |a Lo, Chi-Chin |e verfasserin |4 aut | |
| 700 | 1 | |a Chou, Pang-Yung |e verfasserin |4 aut | |
| 700 | 1 | |a Lo, Lun-Jou |e verfasserin |4 aut | |
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