DISCUSSION
The surgeon’s goal in treating patients with palatal clefts is to establish an anatomic and physiologic environment conductive to the development of normal speech while avoiding disturbances to growth of the midface. Stated simply, the surgeon’s objectives are “ to make the patient look good and speak well. 20
Cleft palate is one of the greatest challenges in reconstructive surgery. A good result requires an aesthetic functional closure without impairment of midface growth, allowing normal hearing and speech development. 21
In this study we were aimed to evaluate the maxillary growth after palatal cleft repair using palatal supraperosteal- septovomerain flap.
The clinical follow up revealed that the patients in group I had normal …show more content…
they stated that there no sharpey’s fibers after palatal repair using a partially split flap technique. furthermore, the palatal bone after palatal repair using a partially split flap technique, is completely normal.
In cases showing anterior cross bite can be explained as the vomerain flap can affect the forward growth premaxilla this is in agreement with
Liao et al, 22as they used the vomer flap for hard palate repair and stated that ,this technique effect in on the anteroposterior development of alveolar maxilla and is progerssive with age.
Our measurements of the dental casts showed no significant difference in the arch widths ( CC’&
TT’) and arch depths (IM ) between both groups that means the supraperiosteal flap not affect the both transverse and anteroposterior maxillary growth as it prevents formation of fibrous palatal scar adjecent to dentoalveolar process.This is supported by the studies of Wijdeveld et al(1989); on Beagle
The surgeon’s goal in treating patients with palatal clefts is to establish an anatomic and physiologic environment conductive to the development of normal speech while avoiding disturbances to growth of the midface. Stated simply, the surgeon’s objectives are “ to make the patient look good and speak well. 20
Cleft palate is one of the greatest challenges in reconstructive surgery. A good result requires an aesthetic functional closure without impairment of midface growth, allowing normal hearing and speech development. 21
In this study we were aimed to evaluate the maxillary growth after palatal cleft repair using palatal supraperosteal- septovomerain flap.
The clinical follow up revealed that the patients in group I had normal …show more content…
they stated that there no sharpey’s fibers after palatal repair using a partially split flap technique. furthermore, the palatal bone after palatal repair using a partially split flap technique, is completely normal.
In cases showing anterior cross bite can be explained as the vomerain flap can affect the forward growth premaxilla this is in agreement with
Liao et al, 22as they used the vomer flap for hard palate repair and stated that ,this technique effect in on the anteroposterior development of alveolar maxilla and is progerssive with age.
Our measurements of the dental casts showed no significant difference in the arch widths ( CC’&
TT’) and arch depths (IM ) between both groups that means the supraperiosteal flap not affect the both transverse and anteroposterior maxillary growth as it prevents formation of fibrous palatal scar adjecent to dentoalveolar process.This is supported by the studies of Wijdeveld et al(1989); on Beagle