Equis ISSN 2398-2977

Hard / soft palate: cleft - surgery

Synonym(s): Palatoplasty

Contributor(s): Dwayne Rodgerson

Introduction

  • To correct defects present in the soft/hard palate that are large enough to affect physiologic events involved with swallowing and potentially cause fatal aspiration pneumonia.
  • Defects involving the soft palate alone are more amenable to repair than defects involving the soft and hard palate together.

Uses

  • To correct defects involving the palate to prevent aspiration pneumonia.

Advantages

  • Prevents life-threatening aspiration pneumonia.

Disadvantages

  • Technically difficult.
  • Requires general anesthesia   Anesthesia: general - overview  .
  • Complications occur frequently.
  • The final repair is prone to dehiscence.
  • Surgical wound dehiscence is more likely to occur with defects involving both the soft and hard palate.
  • Surgical repair of palatal defects can be very involved requiring extensive tissue dissection.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Guarded to poor for soft palate defects.
  • Poor for defects involving the hard palate.

Further Reading

Publications

Refereed papers

Other sources of information

  • Stick J Aet al(1999)Pharynx.In:Equine Surgery.2nd edn. Eds: J A Auer & J A Stick. Philadelphia: W B Saunders Co. pp 337-349.


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