Abstract
“Hanging Palate” is basically an anterior detachment of palatal flaps after Bardach two-flap palatoplasty is performed. It’s not so uncommon complication which results in anxiety, both for the parents and the surgeon.
There may be many causes of hanging palate and these include:
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1.
Faulty technique of suturing.
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2.
Faulty suture material.
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3.
Too much tension on closure.
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4.
Hematoma or seroma formation between nasal and oral layer.
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5.
Infection.
Management lies in prevention and treatment of this complication. In treatment part, surgeon has to secure good hemostasis, make holes in nasal lining for blood and serum drainage, and make good approximation of oral flaps and use of fibrin glue during the repair to prevent this complication to occur.
Treatment of this complication is debatable. Some authors suggested to leave it as such to let it heal on its own as early secondary suturing in first or second week will not hold well due to edema. Others have suggested early revisit to surgical site and cover the anterior hard palate with use of methyl methacrylate obturator to support the hanging mucoperiosteal flap in the postoperative period.
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Ganatra, M.A. (2022). Hanging Palate: Anterior Detachment of Mucoperiosteal Flaps. In: Fayyaz, G.Q. (eds) Surgical Atlas of Cleft Palate and Palatal Fistulae. Springer, Singapore. https://doi.org/10.1007/978-981-15-3889-6_53-2
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DOI: https://doi.org/10.1007/978-981-15-3889-6_53-2
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Publisher Name: Springer, Singapore
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Latest
Hanging Palate: Anterior Detachment of Mucoperiosteal Flaps- Published:
- 19 April 2022
DOI: https://doi.org/10.1007/978-981-15-3889-6_53-2
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Original
Anterior Detachment of Mucoperiosteal Flaps- Published:
- 26 February 2022
DOI: https://doi.org/10.1007/978-981-15-3889-6_53-1