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Preservation palatoplasty: anatomically sparing approach to cleft palate repair and its advantages

Preservation palatoplasty: anatomically sparing approach to cleft palate repair and its advantages

Authors:
Александр Леонидович Иванов,
Светлана Артуровна Сукачева

Журнал: Пластическая хирургия и эстетическая медицина. 2026;(2):21-27.

DOI: 10.17116/plast.hirurgia202602121

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Abstract

OBJECTIVE

To implement the principles of minimally invasive surgery in palatoplasty for development of a novel technique.

MATERIAL AND METHODS

This study included 78 pediatric patients with congenital cleft lip and/or palate divided into two groups according to surgical technique: preservation palatoplasty (n=43) and Ivanov-Ageeva palatoplasty (n=35). Surgery time, intraoperative blood loss, early and late postoperative complications were evaluated.

RESULTS

Mean surgery time was significantly shorter in the preservation palatoplasty group (155.8±8.3 vs. 171.4±11.6 min, p<0.05). Postoperative recovery was also more favorable. Fluid intake on the day of surgery was higher (700±60.3 ml vs. 443±80.8 ml, p<0.001), while complications were less frequent, including tongue edema (1 case vs. 4 cases, p<0.05), respiratory disorders (1 case vs. 8 cases, p<0.01), and fistula (0 vs. 3 cases, p<0.05).

CONCLUSION

Preservation palatoplasty allows for closure of various clefts while minimizing tissue trauma. Extension of palatal aponeurosis and periosteum of sphenoid medial plate reduce surgical invasiveness and shorten postoperative recovery.

Keywords

  • preservation palatoplasty
  • uvula
  • cleft palate
  • minimally invasive surgery

Дата поступления: 14.09.2025

Дата принятия в печать: 05.02.2026

Дата публикации: 22.05.2026

References
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