Classification Of Cleft Palate Research Articles

Comparison of palatal fistula incidence post palatoplasty with Veau-wardill kilner technique between men and women

Cleft palate is a congenital abnormality that occurs in the mouth and surrounding structures. The most used classification of cleft palate by Veau (1931). To repair the palatal defect, shape and function, surgical correction is necessary. There are various types of palatoplasty techniques that can be used, such as Veau-Wardill-Kilner. Palatoplasty may causes complications such as palatal fistula. Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Airlangga University has been carrying out a social service for cleft lip and palate surgery repair since year 2008 in various regions in Indonesia. However, until now, there is no data available related with the incidence of palatal fistula. Purpose: To observe the comparison between the palatal fistula incidence post palatoplasty using Veau-Wardill-Kilner technique based on gender. Methods: This study based on 113 palatoplasty cases using Veau-Wardill-Kilner technique taken from Oral and Maxillofacial Cleft Palate Surgery Social Service data, Faculty of Dental Medicine, Airlangga University from the period of 2013 until 2022. Data analysis used Kruskal-Wallis on IBM SPSS version 29 Windows. Results: from 113 patients, 20 cases (17,7%) showed that there is developed palatal fistula. Between the incidence of palatal fistula in men and women observed after palatoplasty procedure using Veau-Wardill-Kilner, higher percentages of palatal fistula were found in women (p=0.426). Conclusion: The incidence of palatal fistula post palatoplasty using Veau-Wardill-Kilner technique in women is higher than men.

The prenatal diagnosis and classification of cleft palate: the role and value of magnetic resonance imaging.

The aim of this study was to evaluate the value of MRI in the prenatal diagnosis and classification of cleft palate (CP). We collected 94 fetal cases that were suspected of cleft palate with or without cleft lip by prenatal ultrasound (US) and then carried out further MRI to examine the entire body of each fetus within 1week. The diagnoses resulting from MRI and US examination were compared separately with the final diagnoses obtained from postnatal physical examination or fetal autopsy. The diagnostic accuracy between MRI and US was then determined. During the follow-up period, the results for 6 fetuses (6.38%) were lost. Of the remaining 88 cases, the final diagnoses identified 23 cases of cleft lip (CL), 45 cases of unilateral cleft lip with cleft palate (UCLP), 4 cases of median cleft lip with cleft palate (MCLP), 12 cases of bilateral cleft lip with cleft palate (BCLP), 3 cases of unilateral cleft lip and cleft alveolus (CLA), and 1 case of isolated cleft palate (CPO). The total accuracy rate of US was 59.09%, while that of MRI was 92.05%. More importantly, 81 cases were accurately identified by MRI; the accuracy rate for CL, UCLP, MCLP, BCLP, CLA, and CPO was 86.96%, 95.56%, 100%, 91.67%, 66.67%, and 100%, respectively. Our results suggest that MRI could be a useful adjunct to US examination in the prenatal diagnosis of fetuses with cleft palate, and further demonstrates the classification and degree of involvement of the cleft palate. • MRI is a useful adjunct to prenatal ultrasound. • MRI has a higher accuracy rate for CP. • The accurate classification of CP diagnosed by MRI can guide clinical management.