Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 60, Issue 4 , Pages 414-421 , April 2007

Cleft palate repair with the use of osmotic expanders: a preliminary report

  • Kazimierz F. Kobus

      Affiliations

    • Department of Plastic Surgery, Medical University in Wroclaw, 50-367 Wroclaw, Poland
    • Department of Plastic Surgery, Specialistic Medical Center in Polanica Zdroj, Jana Pawla II Street 2, 57-320 Polanica Zdroj, Poland
    • Corresponding Author InformationDepartment of Plastic Surgery, SCM in Polanica Zdroj, Jana Pawla II Street 2, 57-320 Polanica Zdroj, Poland. Tel. +48 74 86 21 151 Fax: +48 74 86 21 158.
    web address

Received 30 August 2005 ,Accepted 1 January 2006.

References 

  1. Von Langenbeck B. Die Uranoplastik mittelst Ablosung des mucos – periostalen gaumenuberzuges. Langenbecks Arch Klein Chir. 1861;2:205–287
  2. Veau V. Division palatine. Paris: Masson; 1931;
  3. Peet E. The Oxford technique of cleft palate repair. Plast Reconstr Surg. 1961;28:282–294
  4. Wardill WEM. The technique of operation for cleft palate. Br J Surg. 1937;25:117
  5. Herfert O. Fundamental investigations into the problems related to cleft palate surgery. Br J Plast Surg. 1958;11:97
  6. Kremenak CR, Huffman WC, Olin WH. Growth of the maxillae in dogs after palatal surgery. I. Cleft Palate J. 1967;4:6–17
  7. Mazaheri M, Harding RL, Nanda S. The effect of surgery on maxillary growth and cleft width. Plast Reconstr Surg. 1967;40:22–30
  8. Ross RB. Treatment variables affecting facial growth complete unilateral cleft lip and palate. Part 6: techniques of palate repair. Cleft Palate J. 1987;24:64–77
  9. Wada T, Kremenak CR, Miyzaki T, et al. Midfacial growth effects of surgical trauma to the area of the vomer in beagles. J Osaka Univ Dent Sch. 1980;20:241–276
  10. Widmaier W. A surgical technique for primary osteoplasty in maxilla and palatal cleft to be applied simultaneously with the closure of the cleft lip. In:  Schuchardt K editors. Treatment of patients with clefts of lip alveolus and palate. Stuttgart: Georg Thieme Verlag; 1966;p. 59
  11. Friede H, Johanson B. A follow-up study of cleft children treated with vomer flap as part of a three-stage soft tissue surgical procedure. Scand J Plast Reconstr Surg. 1977;11:45–57
  12. Kobus K. Extended vomer flap in the early repair of a cleft palate. Scand J Plast Reconstr Surg. 1987;21:95–102
  13. Kobus K. W poszukiwaniu skutecznych metod leczenia rozszczepów wargi i podniebienia. Pol Przegl Chir. 1997;12:1342–1352
  14. Kobus K. Atlas chirurgii plastycznej (Atlas of plastic surgery), Warszawa: Medsportpress; 2004;
  15. Bütow KW. Caudally-based single-layer septum-vomer flap for cleft palate closure. J Craniomaxillofac Surg. 1987;15:10–13
  16. Delaire J, Precious D. Avoidance of the use of vomerine mucosa in primary surgical management of velopalatine clefts. Oral Surg Med Oral Pathol. 1985;60:589–597
  17. Blocksma R, Leuz CA, Mellerstig KE. A conservative program for managing cleft palate without the use of mucoperiosteal flaps. Plast Reconstr Surg. 1975;55:160–169
  18. Malek R, Psaume J. Nouvelle conception de la chronologie et de la technique chirurgicale du traitement des fentes labio-palatines. Ann Chir Plast Esthet. 1983;28:237–247
  19. Mann RJ, Fisher DM. Bilateral buccal flaps with Double Opposing Z-plasty for wider palatal clefts. Plast Reconstr Surg. 1997;100:1139–1143
  20. Nakakita N, Maeda K, Ojimi H, et al. The modified buccal musculomucosal flap method for cleft palate surgery. Plast Reconstr Surg. 1991;88:421–426
  21. Onizuka T, Ohukubo F, Okazaki K, et al. A new cleft palate repair. Ann Plast Surg. 1996;37:457–464
  22. Slaughter WB, Pruzansky S. The rationale for velar closure as a primary procedure in the repair of cleft palate defects. Plast Reconstr Surg. 1954;13:341–357
  23. Schweckendiek W, Doz P. Primary veloplasty: long-term results without maxillary deformity. A twenty-five year report. Cleft Palate J. 1978;15:268–274
  24. Hotz M, Gnoinski W, Perko M, et al. The Zürich approach, 1964 to 1984. In:  Hotz M,  Gnoinski W,  Perko M,  Nussbaumer H,  Hof E,  Haubensak R editor. Early treatment of cleft lip and palate. Toronto, Lewiston, NY, Bern, Stuttgart: Hans Huber Publishers; 1986;p. 42–48
  25. Perko MA. Two-stage closure of cleft palate. J Maxillofac Surg. 1979;7:76–80
  26. Bardach J, Morris HL, Olin WH. Late results of primary veloplasty: the Marburg project. Plast Reconstr Surg. 1984;73:207–218
  27. Witzel MA, Salyer KE, Ross RB. Delayed hard palate closure: the philosophy revised. Cleft Palate J. 1984;21:263–269
  28. Dunn FS. Management of cleft palate cases involving the hard palate so as to interfere with the growth of the maxilla. Plast Reconstr Surg. 1952;9:108–114
  29. Jonsson G, Stenström S, Thilander B. The use of a vomer flap covered with autogenous skin graft as a part of the palatal repair in children with unilateral cleft lip and palate. Arch dimensions and occlusion up to the age of five. Scand J Plast Reconstr Surg. 1980;14:13–21
  30. O'Connor CM. A traumatic surgery of cleft palate. Rev Assoc Med Argent. 1964;78:240
  31. Steström S, Thilander B. Management of cleft palate cases. Using a modified Dunn procedure with skin graft flap. Scand J Plast Reconstr Surg. 1974;8:67–72
  32. Leenstra T, Kohama G, Kuijpers-Jagtman AM, et al. Supraperiosteal flap technique versus mucoperiosteal flap technique in cleft surgery. Cleft Palate Craniofac J. 1996;33:501–506
  33. Perko MA. Primary closure of the cleft palate using a palatal mucosal flap: an attempt to prevent growth impairment. J Maxillofac Surg. 1974;2:40–43
  34. De Mey A, Malevez C, Lejour M. Treatment of palatal fistula by expansion. Br J Plast Surg. 1990;43:362–364
  35. Products specification. Cigar-like and hourglass implants. Osmed Company materials; 2004.
  36. Edgerton MT. Surgical lengthening of the cleft palate dissection of the neurovascular bundle. Plast Reconstr Surg. 1962;29:551–560
  37. Bardach J, Salyer K. Surgical techniques in cleft lip and palate. Chicago, London: Year Book Medical Publishers, Inc; 1987;
  38. Hirshowitz B, Kaufman T, Ullman J. Reconstruction of the tip of the nose and ala by load cycling of the nasal skin and harnessing of extra skin. Plast Reconstr Surg. 1986;77:316–321
  39. Furlow LT. Cleft palate repair by double opposing Z-plasty. Plast Reconstr Surg. 1986;78:724–736
  40. Caffee HH. Cleft palate repair by double apposing Z-plasty by Furlow L.T.. Discussion Plast Reconstr Surg. 1986;78:737–738
  41. Peled IJ, Barak A, Taran A, et al. Intraoperative expansion of the palate by the tumescent technique. Plast Reconstr Surg. 1997;100:100–103
  42. Abramo AC, Viola JC, Angelo AJ. Intraoperative rapid expansion in cleft palate repair. Plast Reconstr Surg. 1993;91:441–445
  43. Sasaki GH. Intraoperative sustained limited expansion (ISLE) as an immediate reconstructive technique. Clin Plast Surg. 1987;14:563–573
  44. Mustoe TA, Bartell TH, Garner WL. Physical, biomechanical, histologic and biochemical effects of rapid versus conventional tissue expansion. Plast Reconstr Surg. 1989;83:687–691
  45. Wiese KG. Osmotically induced tissue expansion with hydrogels: a new dimension in tissue expansion? A preliminary report. J Craniomaxillofac Surg. 1993;21:309–313
  46. Ronert MA, Hofheinz H, Manassa E, et al. Beginning of a new era in tissue expansion: self-filling osmotic tissue expander – four-year clinical experience. Plast Reconstr Surg. 2004;114:1025–1031
  47. Schittkowski M, Guthoff R, Gundlach KK. Behandlung des klinishen Anophtalmus mit selbstquellenden Osmoseexpanders. Ophtalmo-Chirurgie. 2001;13:161–166
  48. Berge SJ, Wiese KG, von Lindern JJ, et al. Tissue expansion using osmotically active hydrogel systems for direct closure of the donor defect of the radial forearm flap. Plast Reconstr Surg. 2001;108:1–5
  49. Gundlach KKH, Guthoff RF, Hingst VHM, et al. Expansion of the socket and orbit for congenital clinical anophthalmia. Plast Reconstr Surg. 2005;116(5):1214–1222
  50. Wee SS, Logan SE, Mustoe TA. Continuous versus intraoperative expansion in the pig model. Plast Reconstr Surg. 1992;90:808–814

PII: S1748-6815(06)00363-9

doi: 10.1016/j.bjps.2006.01.053

Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 60, Issue 4 , Pages 414-421 , April 2007