COMPLETE CLEFT PALATE REPAIR WITH

BUCCAL FAT PAD MODIFICATION

Wilson Wijaya1, Agus Dwi Sastrawan2
1. Dokter Gigi Umum, Rumah Sakit Karitas, Sumba Barat Daya, Indonesia
2. Spesialis Bedah Mulut dan Maksilofasial, Rumah Sakit Umbu Rara Meha,
Sumba Timur, Indonesia
INTRODUCTION
 Palatal cleft is one of the most encountered congenital defects;
 Complete to incomplete;
 Unilateral or bilateral;
 Delayed healing remains an major drawback;
 Buccal fat pad as an pedicled flap can be an option.
CASE REPORT

 12 y/o female,;
 Chief complaint of having a huge gap within her palate, disrupting
speech and masticatory function;
 No systemic condition,
 Complete palatal cleft
CASE MANAGEMENT

 Cleft palate surgical correction with Two-Flap Palatoplasty

Technique Modified with Buccal Fat Pad
 CASE MANAGEMENT
POD IV POD VII POD XXX

Clinically, there was no severe Clinically, there was no wound Clinically, there was no wound
complication shown. infection nor dehiscence shown, infection nor dehiscence shown,
suture are going to be removed buccal fat pad was merging well
on this day. with surrounding mucosa.
DISCUSSION
 Definition of palatal cleft
 Classification of palatal cleft
 Complete/incomplete
 Unilateral/bilateral
 Surgical treatment of palatal cleft
DISCUSSION
 Two-flap Palatoplasty
 Drawbacks
DISCUSSION
 Modification with Buccal Fat
Pad as Pedicled Flap
DISCUSSION
 Modification with Buccal Fat
Pad as Pedicled Flap
DISCUSSION
 Anatomy of Buccal Fat Pad
 Buccal Fat Pad Harvesting Technique
 Advantages of Buccal Fat Pad Usage
CONCLUSION
Complete palatal cleft can be treated surgically with two-flap
palatoplasty technique modified with buccal fat pad graft to
obtain good result functionally and esthetically.
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