Cleft Palate With Intravelar Veloplasty Repair

Microscopic Surgical Repair of Cleft Palate With Inravelar Veloplasty

Cleft palate repair is the most important component of cleft surgery, not only in that it determines the outcome as far as speech and communication are concerned, but also in that it potentially has the greatest impact on maxillary growth and the dental arch relationship. Sommerlad technique has been described as a more physiological approach, aiming to restore the anatomy of the velum. This technique, often described as radical intravelar veloplasty, has the following distinctive components: a radical retroposition of velar musculature (m. levator veli palatini, m. palatoglossus, and m. palatopharyngeus), combined with minimal dissection of the hard palate, a tensor tenotomy, and the repair of the m. levator sling

Inclusion Criteria:

• Patients with isolated cleft palate age from 9 months to 18 years.
• Patients with submucous cleft.
• Velopharyngeal incompetence (VPI) for palatal re-repair.

Exclusion Criteria:

• Medically unfit patients.
• Syndromic patients with cleft lip and palate.
• Patients with cleft palate associated with multiple congenital anomalies.
• Patients with neurological disorders.