The Advantages and Disadvantages of Two Stages Palatoplasty: A Systematic Review

Author:

Tjipta AryaORCID,Ramadhan HafizORCID,Lubis RahmiORCID

Abstract

BACKGROUND: Two-stage palatoplasty involves soft palate closure–6–8 months after birth, followed by hard palate closure at the age of 12–14 years to avoid early surgical intervention of the hard palate. AIM: This study aimed to present the advantages and disadvantages of two-stage cleft repair palatoplasty. METHODS: This study used the literature review method to find articles using the search engine Google Scholar, Ovid, and PubMed. According to the search results, 525 articles were in accordance with the title of the study, but those in accordance with the inclusion criteria amounted to nine articles only. RESULTS: The results of several studies in this study highlight some of the advantages and disadvantages of the two-stage palatoplasty procedure in several countries. CONCLUSIONS: Some advantages of two-stage palatoplasty are good maxillary growth and disadvantages, such as increased velopharyngeal insufficiency.

Publisher

Scientific Foundation SPIROSKI

Subject

General Medicine

Reference22 articles.

1. Leow AM, Lo LJ. Palatoplasty: Evolution and controversies. Chang Gung Med J. 2008;31(4):335-45. PMid:18935791

2. Naidu P, Yao CA, Chong DK, Magee WP 3rd. Cleft palate

3. repair: A history of techniques and variations. Plast Reconstr Surg Glob Open. 2022;10(3):e4019. https://doi.org/10.1097/gox.0000000000004019 PMid:35492233

4. Agrawal K, Panda KN. Use of vomer flap in palatoplasty: Revisited. Cleft Palate Craniofac J. 2006;43(1):30-7. https://doi.org/10.1597/04-034.1 PMid:16405371

5. Schweckendiek W, Doz P. Primary veloplasty: Long-term results without maxillary deformity. A twenty-five year report. Cleft Palate J. 1978;15(3):268-74. PMid:278679

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