Bardach's Two Flap Palatoplasty: Techniques, Outcomes, and Advances in Cleft Palate Repair | Chapter 23 | Key Flaps in Plastic Surgery

 This book chapter presents a case report and discussion on Bardach's Two Flap Palatoplasty, a surgical technique used to repair cleft palate. The case presentation describes a child with a complete left side cleft lip and palate, where the cleft palate remained after a previous cheiloplasty for the left cleft lip. The diagnosis is a follow-up case of left complete cleft lip and palate, classified as Modified Kernhan's 10-19 and Veau group III.

The operative procedure involves the use of Bardach's Two Flap Palatoplasty technique to repair the cleft palate. The surgeon performs a two-layered closure for the hard palate, including closure of the intervening muscle layer along with the nasal mucosal and oral mucoperiosteal layers. The postoperative period remains uneventful, and satisfactory results are observed during follow-up examinations.

The discussion section provides an introduction to Bardach's Two Flap Palatoplasty, emphasizing its purpose in repairing cleft palate by achieving a tension-free closure using two flaps. The surgical technique is described, including patient evaluation and planning, anesthesia, incision and exposure, flap design and elevation, closure and suturing, and postoperative care.

Advantages of Bardach's Two Flap Palatoplasty include improved speech development, enhanced feeding and swallowing, aesthetic improvement, and reduced risk of complications. The limitations of the procedure, such as the need for an individualized approach and the requirement for multidisciplinary care, are also discussed. Potential complications and the importance of preoperative evaluation, surgical technique, and postoperative care are highlighted.

The abstract highlights the practical application of Bardach's Two Flap Palatoplasty in repairing cleft palate and the benefits it provides in terms of speech development, feeding and swallowing, and aesthetic improvement. By understanding the surgical technique and considering the advantages and limitations of the procedure, healthcare professionals can effectively address cleft palate and contribute to the overall well-being and development of affected individuals.

Author(s) Details:

Mohd. Altaf Mir,
Department of Burns and Plastic Surgery, All India Institute of Medical Sciences (AIIMS),Bathinda-151001, India.

Jaya Jain,
All India Institute of Medical Sciences (AIIMS), Bathinda-151001, India.

Please see the link here: https://stm.bookpi.org/KFPS/article/view/11518

A Novel Approach to Airway Management in Pierre Robin Syndrome with Bicuspid Aortic Valve | Chapter 12 | Novel Research Aspects in Medicine and Medical Science Vol. 3

 Pierre Robin Sequence (PRS) is a complex inborn syndrome with a dispassionate triad of micrognathia, glossoptosis and cleft tendency with or without diversified secondary abnormalities chief to the risk of upper ventilating pipe obstruction and difficulty in augmenting. It poses a great challenge to the anaesthesiologist all the while laryngoscopy and intubation making oxygenation and ventilation difficult. We report a case of 3.5yr male adolescent suffering from PRS along with cleft tendency, left renal agenesis, reciprocal CTEV, bilateral inguinal hernia, pectus carinatum, a hard bony structure in the jaws of vertebrates aortic valve posted for cleft partiality repair where favorable ventilation and intubation was done and communicable a tongue stitch in addition to nebulization and prone position aided to maintain airway all the while recovery.

Author(s) Details:

Shobha V.,
Department of Anesthesiology and Critical Care, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India.

Saurabh Mittal,
Department of Anesthesiology and Critical Care, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India.

K. V. Rawat,
Department of Plastic Surgery, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India.

Please see the link here: https://stm.bookpi.org/NRAMMS-V3/article/view/11994

Varied Uses of Bone Allograft in Plastic and Reconstructive Surgery: A Case Series of 13 Patients | Chapter 13 | New Frontiers in Medicine and Medical Research Vol. 1

 Background: The availability of safe, clinically useful, and cost-effective bone allografts has led to changes in surgical therapy as well as an increase in demand for bone allografts for plastic surgery reconstruction. They're a good alternative to bone autograft since their supply is more plentiful, they allow for skeleton structural restoration, and their surfaces promote bone development.

A case study of 13 patients who were treated with freeze-dried bone allografts is presented. All transplants must meet certain requirements, according to the FDA and the Bone Banks. The objective assessment of graft volume persistence was performed using radiography, whereas the subjective assessment of graft volume was gained through patient response over the course of a one-year follow-up period. The goal of this research was to determine the clinical value of bone allografts in various reconstructive operations and compare them to bone autografts.

Conclusion: Bone allografts can be employed in a variety of bone surgeries, ranging from slight abnormalities to significant bone loss after tumour removal. Freeze-dried allograft bone is a safe and effective alternative to bone autograft since it has no donor-site morbidity.

Author (s) Details

Vikas Singh
Department of Plastic Surgery, Army Hospital Research and Referral, Delhi, India.

Shivam Dang
Department of Plastic Surgery, Army Hospital Research and Referral, Delhi, India.

View Book :- https://stm.bookpi.org/NFMMR-V1/article/view/2792

Reporting a Case Series of Cosmetic Outcome Following Cleft Lip and Palate Repair | Chapter 4 | Current Topics in Medicine and Medical Research Vol. 6

 

The most prominent congenital defects of the orofacial structures are the Cleft Lip and Palate. The aim of Cleft Repair Surgery is to restore normal anatomy. A significant determinant of the effectiveness of Cleft repair procedures is the aesthetic and cosmetic effect. We are presenting hereby five pictorial cases of  Cleft Lip and/or Palate with their associated long-term cosmetic results that have undergone repair procedures at our hospital.

Author(s) Details

Dr. N. I. Yallanasa
Department of General Surgery, Shreeya Multispeciality Hospital and Shreya College of Nursing, India.

H. B. Amrut
Department of General Surgery, Shreeya Multispeciality Hospital and Shreya College of Nursing, India.

View Book :- https://bp.bookpi.org/index.php/bpi/catalog/book/272