Cleft - Ultimate Treatment
INTRAVELAR VELOPLASTY (IVV) Type I
Described originally by Kriens, 1969 [Braithwaite & Maurice, 1968] BRAITHWAITE F, MAURICE DG. The importance of the levator palatine muscle in cleft plate closure. Br J Plast Surg 1968; 21: 60-62. KRIENS OB. An anatomical approach to veloplasty. Plast Reconstr Surg 1969; 43: 29-41.
Type II (= Type I) Bütow, K-W & Jacobs, FJ
According to the anatomical defect: 7 surgical modifications in preventing oro-nasal fistulae, as well as the non-fracture of the hamulus with adjacent lateral releasing incisions and insertion of the tensor stitch. BÜTOW K-W, JACOBS FJ. Intravelar veloplasty: surgical modification according to anatomical defect. Int J Oral Surg. 1991; 20;296-300.
Type III (= Type II modification) Additional muscle alignments and specific uvula reconstruction, according to Sommerlad BC; Ivanov A and Agueeva L SOMMERLAD BC. A technique for cleft palate repair. Plast Reconstr Surg 2003; 112: 1542-1548. IVANOV A, AGUEEVA L. Veloplasty using single uvular and double opposing flaps. J Cranio-Maxillofac Surg. 2008; 36: s22 [O.088]. BÜTOW K-W, ENGELBRECHT H, NAIDOO S. Asymmetrical soft palate cleft construction. Int J Oral Maxillofac Surg 2014: http://dy.doi.org/10.1016/j.ijom.2013.05.018.
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