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PALATOPLASTY

Cleft palate is a congenital abnormality where the soft palate fails to fuse during embryonic development, leaving an opening that divides the nasal cavity from the mouth. It can be partially or fully cleft. Palatoplasty is the surgical procedure used to repair the cleft palate, usually between 6 to 18 months of age, to improve speech and create a barrier between the mouth and nasal cavity. The surgery involves reconstructing the palate using various techniques like the Von Lagenbeck, Veau-Wardill-Kilner, or Furlow double Z-palatoplasty methods. After surgery, careful post-operative care is needed to monitor healing and prevent complications.

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988 views14 pages

PALATOPLASTY

Cleft palate is a congenital abnormality where the soft palate fails to fuse during embryonic development, leaving an opening that divides the nasal cavity from the mouth. It can be partially or fully cleft. Palatoplasty is the surgical procedure used to repair the cleft palate, usually between 6 to 18 months of age, to improve speech and create a barrier between the mouth and nasal cavity. The surgery involves reconstructing the palate using various techniques like the Von Lagenbeck, Veau-Wardill-Kilner, or Furlow double Z-palatoplasty methods. After surgery, careful post-operative care is needed to monitor healing and prevent complications.

Uploaded by

retha_retha93
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Cleft palate

PEMBIMBING :
AKBP HENRY SETIAWAN,DRG, M.KES, SP.BM

DENNY HERIAWAN
(2014-16-064)
GIOVANI TRIXIE NIRAHUA (2014-16-079)

Cleft Palate or Palatoschizis


Palatoschisis or cleft palate congenital abnormality

that occurs because there is no unification (fusion) is


normally of the soft palate at the embryonic process
where there is a failure processus closure
frontonasal, maxillary and mandibular either of
partially or completely. The normal position of the
canal nasopalatinis palate split into two parts, namely
primary and secondary palate palate.

Etiology

Classification

Cleft Palates Effect

FOOD INTAKE

TOOTH

OCCLUSAL PLANE

SKELETAL

HEARING

SPEECH

AIRWAY MAINTENANCE

Therapy for cleft palate (Palatoplasty)

Surgical procedure used to correct or reconstruct cleft palate


Usually done at six to eighteen months of age.
Although the child may look normal from the outside, the

cleft palate can be seen by looking for a separation in the roof


of the child's mouth.
A cleft palate should be repaired for several reasons, namely
to improve speech and to reestablish the barrier between the
mouth and the nasal cavity.
Rarely, more than one operation may be needed to close the
cleft palate.

Von Lagenbeck Palatoplasty

Veau-Wardill-Kilner / VY Pushback Palatoplasty

Two Flap Palatoplasty

Furlow double Z-palatoplasty

Post Operation Treatment


Open the obturator after 5-7 days postoperatively
soft diet
Clean the suture line with caution
Apply antibiotic ointment on the suture line
Avoid inserting objects into the child's mouth after feeding to prevent

aspiration
Monitor for signs of infection at the surgical site and systemic
Monitor the level of pain in infants and the need for pain medication
Note hemorrhage, edema, drainage
Monitor the integrity of the skin tissue
Note the position of the seam, avoid contact network with unsterilized tools

Complication
Airway obstruction
Bleeding
Palatal fistule
Midface anomalies

THANK YOU

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