Palatoplastia con incisiones mínimas. Proposición de una técnica y revisión de la literatura

Abstract

There are several surgical techniques described for cleft palate reparing, from uni or bipediculated flaps to Z-plastias, without finding the ideal one. We propose a new technique with minimal incisions, to get better results, less morbidity and less early or delayed complications. Since 1998 we have used the technique of palatoplasty with minimal incisions in 336 children, 195 (58%) girls and 141 (42%) boys, with an average age of 18 months (6 to 36 months), diminishing risk of bleed and fibrosis, surgical time and reducing hospitalisation. In the postoperatory, did not appear bleed, the percentage of wound open and secondary fistula was 5% and 332 cases (96%) were handled like ambulatory procedures. As a conclusion, we present an easy surgical technique, with an smaller reported percentage of fistula and less morbidity.