MANAGEMENT OF PATIENTS WITH CONGENITAL CLEFT PALATE

Authors
M.Kh. Kadyrov1 A.Kh. Shaimanov2.3 G.M. Mukhsinzoda2.3
Job:
1 Tambov State University named after G.R. Derzhavin, Tambov, Russia 2 Republican Scientific Center for Cardiovascular Surgery 3 Society of Plastic and Aesthetic Surgeons of Tajikistan, Dushanbe, Tajikistan
DOI:
10.65197/3106-4035-2025-1-3-44-60

Annotation

Resume..

Goal. To compare the results of cleft palate repair with and without restoration of the soft palate muscles.

Material and methods. Between 2009 and 2018, 168 patients diagnosed with congenital cleft palate (CCP) were operated on in the Department of Reconstructive Surgery at the Republican Scientific Center for Cardiovascular Surgery (RSCCS). The treatment outcomes formed the basis for this study. Of the total number of patients, 85 (50.6%) were men and 83

Results. The AxhausenVeau technique allowed for the simultaneous closure of combined defects of the soft and hard palate of small and medium sizes. However, in children operated on using this method before the age of 3, signs of noticeable, although not fatal, nutritional impairment in adjacent areas were observed, associated with the detachment of the mucosal flap from the palatine periosteum. Therefore, this procedure is recommended for children aged 3 years or older. Despite the approximately identical functional and aesthetic status of patients preoperatively, the average postoperative score in patients who underwent Furlow’s Zplasty was significantly higher than that of other patients. However, as already noted, the use of this method was limited to clefts up to 1.5 cm and soft palate defects, while Veau modifications were used for larger and combined soft palate defects.

Conclusion. antly influence the longterm functional and aesthetic outcomes of surgical intervention for congenital cleft palate. Ignoring these factors can lead not only to a failure of the desired effect but also to a significant deterioration in the patient’s overall condition. Restoration of the soft palate’s muscular structures is recognized as an integral component of congenital cleft correction, which is critical to ensuring the best functional outcomes in this group of patients.

Keywords

Congenital cleft palate maxillofacial surgery uranoplasty veiloplasty palatal surgery.

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Information
Language

English

License

CC BY 4.0

Category

MAXILLOFACIAL SURGERY

FINANCING

There was no financial support.

CONFLICT OF INTEREST

The authors declare no conflict of interest.

INFORMATION ABOUT THE AUTHORS:

*Kadyrov Maruf Khudoyberdievich – doctor of medical science, professor of department of clinical stomatology Tambov state university named after G.R. Derzhavin, Tambov, Russia. E-mail: maruf_70@mail.ru https://orcid.org/0000-0002-4483-9102 Shaimanov Aziz Khuseynovich – Candidate of Medical Sciences, Senior Researcher, Department of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Tajikistan. E-mail: scorpio-as@list.ru, https://orcid.org/0000-0002-9872-9718 *Mukhsinzoda Gafur Mukhsin – Doctor of Medical Sciences, Associate Professor of the Department of Surgical Diseases No. 2 named after Academician N. U. Usmanov of the State Educational Institution “Tajik State Medical University named after Avicenna”, Dushanbe, Tajikistan. E-mail: gafur@tojikiston.com https://orcid.org/0000-0002-7095-792X

*Correspondence address.