Clinical case report: late correction of cleft palate in an 11-year-old boy with bilateral cleft lip and palate
DOI:
https://doi.org/10.15574/PS.2024.82.100Keywords:
bilateral cleft lip and palate, complete cleft palate, two-flap palatoplasty, two-stage palate closureAbstract
Clefts of the lip and palate remain one of the most common congenital malformations. Bilateral cleft is considered the most complex form of the defect. There is no consensus on the timing and method of surgical treatment. However, most publications focus on the two-stage method of defect closure and recommend complete correction by 24 months of age.
This clinical case deviates from the commonly accepted approach to treating children with bilateral clefts of the lip and palate. The patient sought medical help at a late age, specifically at 11 years old, due to a number of subjective and objective reasons.
The aim - based on a clinical case, analyze the timely and qualitative provision of medical care, the difference in the quality of life before and after surgical intervention in patients with the described pathology.
The first stage was performed at the age of 2 years. After preoperative preparation, including antibiotic therapy guided by throat swabs, the patient underwent a series of surgical procedures, including complete dissection of soft palate muscles, intravelar veloplasty, formation of a Vomer flap, and meticulous closure of the palate defect layer by layer. One month after the surgery, the patient exhibited soft palate movements (which were absent before surgery), improved feeding, and continued speech therapy sessions, resulting in significantly improved pronunciation.
Analysis of this clinical case will contribute to a better understanding of the approach to treating children with bilateral clefts of the lip and palate. Timely referral of patients for comprehensive treatment, including surgical correction, subsequent orthodontic treatment, speech therapy sessions, possible psychological rehabilitation, and so on, is crucial in children with bilateral clefts of the lip and palate.
The research was carried out in accordance with the principles of the Helsinki Declaration. The informed consent of the patient was obtained for conducting the studies.
No conflict of interests was declared by the authors.
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