Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 4 Issue 11

Rules of Engagement in Minimal Blood Loss Palatoplasty Using Saline Hydro Dissection: A Useful Learning Curve for Younger Cleft Surgeons in Manoeuvring Areas of Static Resistance due to Tight Tissue Planes

Bona Lotha1* and Zeinalddin M2

1Craniofacial Cleft Surgeon, Yemen Global Smiles, Sanaa, Yemen
2Craniofacial Orthodontist Mohammad Orthodontic Center - Senior Lecturer Oman Dental College, Muscat, Sultanate of Oman

*Corresponding Author: Bona Lotha, Craniofacial Cleft Surgeon, Yemen Global Smiles, Sanaa, Yemen.

Received: September 22, 2020; Published: October 14, 2020

×

Abstract

  Minimal blood loss in palatoplasty can be achieved with adrenaline saline hydro dissection, and a good knowledge of key anatomical structures as well as the stubborn areas of static resistance, where dissection is difficult because of fixed tissue planes. With the advent of minimal incision palatoplasty, button-hole and medial-only incision procedures, the amount of blood loss is significantly reduced in most palate operations. The two-stage palate repair also leads to less blood loss and is a popular concept among cleft groups worldwide following the initial promotion by Swedish cleft groups at Gothenburg. The learning curve is reasonable and techniques can be added, as one gains more experience with cleft palate surgeries.

Keywords: Minimal Blood Loss Palatoplasty; Cleft Training; Minimal Incision Palate Repair; Saline Hydro Dissection

×

References

  1. Minimal blood loss palatoplasty Lotha B Yemen, 5th European Plastic Surgery Research Council (2013).
  2. , et al. “Intraoperative High-Dose Epinephrine Infiltration in Cleft Palate Repair”. The Journal of Craniofacial Surgery 25.1-3 (2014): 140-142.
  3. Palate Brian C., et al. “International Confederation for Cleft Lip and Palate and Related Craniofacial Anomalies Task Force Report: Palatoplasty in the Speaking Individual with Unrepaired Cleft”. The Cleft Palate-Craniofacial Journal6 (2014): e122-e128.
  4. Mats E., et al. “Risk factors in children having palatoplasty”. Indian Journal of Plastic Surgery 35 (2001): 279-283.
  5. “Cleft Palate Repair”. Clinics in Plastic Surgery 41 (2014): 189-210.
  6. Lotha B., et al. “Intraoperative Anatomical Surface Marking and Cone Beam Computerized Tomography for Assessment of the Hamulus in Palatoplasty by Younger Cleft Surgeons". Acta Scientific Dental Sciences7 (2020): 150-153.
  7. , et al. “Long-Term, Longitudinal Follow-Up of Individuals With Unilateral Cleft Lip and Palate After the Gothenburg Primary Early Veloplasty and Delayed Hard Palate Closure Protocol: Speech Outcome, Anette”. The Cleft Palate-Craniofacial Journal 49.6 (2012): 657-671.
  8. M Eriguchi., et al. “Growth of unilateral cleft lip and palate patients undergoing two-stage palatoplasty and orthodontic treatment”. Bull Tokyo Dental College3 (2018): 183-191.
  9. Rod J Rohrich MD., et al. “Optimal Timing of Cleft Palate Closure”. Plastic And Reconstructive Surgery2 (2000): 414-421.
  10. Don Larossa MD. “The State of the Art in Cleft Palate Surgery”. Cleft Palate-Craniofacial Journal3 (2000): 225-228.
  11. Orgun Derrn. “Furlow palatoplasty in children”. APRS 116 (2005): 1.
  12. Patricio Andrades., et al. “The Importance of Radical Intravelar Veloplasty during Two-Flap Palatoplasty”. Plastic and Reconstructive Surgery 122 (2008): 1121.
  13. John H Grant. “Addition of radical intravelar palatoplasty significantly improves speech outcomes and reduces reoperation rate in primary palatoplasty”. ACPA 69th Annual conf, San Jose (2012): 112.
  14. Brian Sommerlad. “A protocol in the management of VPI”. ACPA 69th Annual Conference (2012): 67.
  15. Brian S Pan MD. “Evolution in Minimal-Incision Palatoplasty: Surgical Technique and Outcomes in 67 Consecutive Cases”. Plastic and Reconstructive Surgery 134 (2014): 102.
  16. Kulkarni KR., et al. “Perioperative respiratory complications in cleft lip and palate repairs: An audit of 1000 cases under the ‘Smile Train Project”. Indian Journal of Anaesthesia 6 (2013): 562-568.
  17. Cutting MD., et al. “The technique of muscle repair in the cleft palate”. Operative Techniques in Plastic and Reconstructive Surgery 4 (1995): 215-222.
  18. YF Liao., et al. “Cleft size at the time of palate repair in complete unilateral cleft lip and palate as an indicator of maxillary growth”. International Journal of Oral and Maxillofacial Surgery 39 (2010): 956-961.
  19. Albert Oh MD., et al. “An Osteotome for Out fracture of the Greater Palatine Foramen in Cleft Palate Repair”. Plastic and Reconstructive Surgery 3 (2001): 820-822.
  20. M Beetle., et al. “A micro-CT study of the greater palatine foramen in human skulls”. Journal of Oral Science1 (2018): 51-56.
×

Citation

Citation: Bona Lotha and Zeinalddin M. “Rules of Engagement in Minimal Blood Loss Palatoplasty Using Saline Hydro Dissection: A Useful Learning Curve for Younger Cleft Surgeons in Manoeuvring Areas of Static Resistance due to Tight Tissue Planes". Acta Scientific Medical Sciences 4.11 (2020): 36-42.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.403

Indexed In





News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is July 10, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US