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15/12/2025
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Tạ, Q. T., Đặng, T. H., & Nguyễn, T. V. (2025). RESULTS OF USING VOMER FLAP AT THE SAME TIME AS LIP RECONSTRUCTION SURGERY IN PATIENTS WITH CLEFT LIP AND PALATE. Vietnam Medical Journal, 556(3). https://doi.org/10.51298/vmj.v556i3.16446
RESULTS OF USING VOMER FLAP AT THE SAME TIME AS LIP RECONSTRUCTION SURGERY IN PATIENTS WITH CLEFT LIP AND PALATE
Main Article Content
Abstract
Cleft lip and palate (CLP), especially bilateral complete cleft lip and palate, is a severe congenital craniofacial anomaly that significantly affects feeding, speech, facial growth, and the psychological well-being of both the child and their family. Early surgical repair of the lip and palate is a critical component of the comprehensive treatment strategy for children with CLP. Objective: To evaluate the preliminary surgical outcomes of simultaneous nasal septal flap reconstruction during primary cleft lip repair in patients with unilateral complete CLP. Subjects and Methods: A descriptive case series was conducted on 26 patients with unilateral complete CLP who underwent surgery at E Hospital and Hanoi Medical University Hospital from June 2024 to August 2025. Results: Postoperative bleeding occurred in 1 out of 26 patients (3.8%). At the 3-month postoperative follow-up, 23/26 patients (88.5%) achieved complete healing of the nasal septal flap; 2/26 patients (7.7%) showed approximately 60% flap healing, and 1 patient (3.8%) had flap failure.
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Keywords
Unilateral complete cleft lip and palate, nasal septal flap, modified Millard technique.
References
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4. James D. Martin Smith, Louise Fitzgerald, David J.A. Orr. How reliable is the vomer flap in early hard palate repair. Journal of PlasticReconstructive & Aesthetic Surgery. Volume 70, Issue6, June2017, Pages 826-832.
5. Bram J. A. Smarius, Corstiaan C. Breugem. Use of early hard palate closure using a vomer flap in cleft lip and palate patients 2016. Journal of Cranio-Maxillofacial Surgery. Volume 44, Issue 8, August 2016, Pages 912-918
6. Nishantha Perinparajah, David Drake. Analysis of changes in the 3-dimensional anatomy of palatal shelves of unilateral cleft lip & palate patients following vomer flap repair 2011. International Journal of Surgery. Volume 9, Issue 7, 2011, Pages 501-502.
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8. Timbang MR, Gharb BB, Rampazzo A, Papay F, Zins J, Doumit G. A systematic review comparing Furlow double-opposing Z-plasty and straight-line intravelar veloplasty methods of cleft palate repair. Plast Reconstr Surg. 2014;134(5): 1014-1022.
9. Yamaguchi K, Lonic D, Lee CH, Yun C, Lo LJ. Modified Furlow Palatoplasty Using Small Double- Opposing Z-Plasty: Surgical Technique and Outcome. Plastic and reconstructive surgery. 2016;137(6):1825-1831.
2. Nguyễn Thị Hồng Tuyến. Nhận xét đặc điểm lâm sàng và kết quả phẫu thuật khe hở vòm miệng toàn bộ một bên theo phương pháp V-Y pushback tại Bệnh viện Hữu nghị Việt Nam - Cu Ba năm 2014. Luận văn Bác sỹ Chuyên khoa Cấp II. 2014.
3. Lurian Minatel, Jéssica Marcela de Luna Gomes, Cleidiel Aparecido Araújo Lemos, João Pedro Justino de Oliveira Limírio. Influence of vomer flap on craniofacial growth in patients with cleft lip and palate: A systematic review. Journal of Cranio-Maxillofacial Surgery. Volume 47, Issue 6, June 2019, Pages 902-908
4. James D. Martin Smith, Louise Fitzgerald, David J.A. Orr. How reliable is the vomer flap in early hard palate repair. Journal of PlasticReconstructive & Aesthetic Surgery. Volume 70, Issue6, June2017, Pages 826-832.
5. Bram J. A. Smarius, Corstiaan C. Breugem. Use of early hard palate closure using a vomer flap in cleft lip and palate patients 2016. Journal of Cranio-Maxillofacial Surgery. Volume 44, Issue 8, August 2016, Pages 912-918
6. Nishantha Perinparajah, David Drake. Analysis of changes in the 3-dimensional anatomy of palatal shelves of unilateral cleft lip & palate patients following vomer flap repair 2011. International Journal of Surgery. Volume 9, Issue 7, 2011, Pages 501-502.
7. Gaurav Deshpande, Lisa Wendby, Rasika Jag tap, Björn Schönmeyr. The efficacy of vomer flap for closure of hard palate during primary lip repair. Journal of Plastic, Reconstructive & Aesthetic Surgery 2015. Volume 68, Issue 7, July 2015, Pages 940-945
8. Timbang MR, Gharb BB, Rampazzo A, Papay F, Zins J, Doumit G. A systematic review comparing Furlow double-opposing Z-plasty and straight-line intravelar veloplasty methods of cleft palate repair. Plast Reconstr Surg. 2014;134(5): 1014-1022.
9. Yamaguchi K, Lonic D, Lee CH, Yun C, Lo LJ. Modified Furlow Palatoplasty Using Small Double- Opposing Z-Plasty: Surgical Technique and Outcome. Plastic and reconstructive surgery. 2016;137(6):1825-1831.