Intra operative challenges faced while performing palatoplasty in a case of mild PRS with isolated cleft palate- Importance of diagnosing subtle changes in pre-operative evaluation

Abstract

Repairing cleft palate in a non-syndromic child is very challenging, given the size of oral cavity, a Pierre-robinsequence (PRS) makes matters worse on the operating table, as there is an added difficulty of micrognathia and relatively larger tongue. This paper is written with an objective of sharing our difficulties faced while operating in such a child, the technique used to cover the oral layer of soft palate, and to foresee such difficulties in the preoperative period in milder cases of Pierre robin sequence.