The Significance of Uvula After Palatoplasty: A New Technique to Improve the Aesthetic Outcome.

Academic Article

Abstract

  • OBJECTIVE: This study aims to examine the importance of the uvula as a part of palatoplasty outcome and to assess the aesthetic results of the conventional versus a new technique for uvuloplasty. DESIGN/PARTICIPANTS: The study included 2 groups of patients undergoing palatoplasty. Group I consisted of 20 cleft palate patients repaired with the conventional uvula repair, combining the 2 hemi-uvulae. Group II consisted of 20 patients repaired with our new technique, sacrificing one hemi-uvula and centralizing the remaining one. The aesthetic outcome was assessed in both groups. A questionnaire was distributed to the families of both groups to assess their concern about the uvula after palate repair. SETTING: Cleft unit at a tertiary care center. RESULTS: Sixty-five percent of parents considered the uvula as important functionally and aesthetically after palate repair whereas 35% either did not care or were not sure about its importance. Results of the aesthetic outcome of the 2 techniques for uvula reconstruction showed that uvula was absent in 4 cases in group I versus 1 in group II ( P > .05), small in 8 cases of group I versus 4 in group II ( P > .05), bifid in 5 cases of group I versus none in group II ( P < .05), became deviated in no case of group I versus 4 in group II ( P > .05), and was satisfactory in 3 cases of group I versus 11 in group II ( P < .05). CONCLUSIONS: Among the respondents, the uvula was a significant concern to the parents of cleft patients and should be given more attention during repair. The described technique had better aesthetic outcome over the conventional one of combining the 2 hemi-uvulae.
  • Authors

    Keywords

  • cleft palate, uvula, uvuloplasty, Cleft Palate, Esthetics, Female, Humans, Infant, Male, Parents, Prospective Studies, Reconstructive Surgical Procedures, Surveys and Questionnaires, Treatment Outcome, Uvula
  • Digital Object Identifier (doi)

    Author List

  • Elsherbiny A; Mazeed AS; Saied S; Grant JH
  • Start Page

  • 451
  • End Page

  • 455
  • Volume

  • 55
  • Issue

  • 3