Tags

Article Image

All about Palatoplasty Surgery, Treatment, Risk, Complications, Cost of Palatoplasty in Delhi

  • Posted on- Jan 31, 2018
  • 34 Views
  • 0
Written by site author.

A palatoplasty is a procedure which is performed surgically and used to correct or reconstruct the palate in a person with a cleft palate.

The basic goal of Palatoplasty is to:
  1. Close the abnormal opening between the nose and mouth
  2. Help the patient to develop normal speech
  3. Aid in swallowing, breathing and normal development of associated structures in the mouth.
What are the indications for a palatoplasty?

Any person with any degree of cleft palate is a candidate for palatoplasty. The same surgery is recommended to each patient however, a different procedure may be advised in unique cases.

Click on the "Button" below, If you have any Query/Question regarding "Cost of Palatoplasty Surgery in Delhi "

What is the ideal age for having a Palatoplasty?

The ideal age for the patient is from 6 to 12 months of age. This seems to be the optimal age for repair because of the development of tissues around the cleft. Palatoplasty is performed before any of the sign language development occurs, which gives the best advantage of developing normal speech. If the surgery is performed beyond 3 years of age, speech development may not be optimal.

What is involved in the Palatoplasty procedure?
  • Feeding

If the patient is having a cleft present until the surgery then feeding can be a problem. It is important that proper nutrition and weight gain is achieved before the procedure to allow for optimal recovery.

A pediatrician or family doctor will monitor everything closely. In some cases, if feeding by mouth cannot achieve normal weight gain then a nasogastric tube (a tube through the nose that ends in the stomach) may be placed to allow food directly into the stomach. In some cases, a temporary tube may be placed directly into the stomach through the skin (G-tube).

For about three weeks before the palatoplasty, the patient’s diet may be changed to a thicker consistency. This is known as the “cup” diet, which simply means the patient can be fed any food that can be spooned out of a cup.

Click on the "Button" below, If you have any Query/Question regarding "Cost of Palatoplasty Surgery in Delhi "

  • Syndromes

Sometimes, a cleft palate may be associated with other abnormalities. It is important that any additional abnormalities are identified and completely evaluated prior to palatoplasty, as it may affect the overall treatment of the child.

  • Infection Prevention

If there is any sign of infection in the patient around the time of surgery, the surgery may be postponed. Please notify the doctor immediately about any illness that occurs prior to the child’s scheduled surgery date.

  • Ear Fluid

The physician may recommend that tympanostomy tubes should be placed at the same time as the palatoplasty because the cleft can cause ear problems.

What is involved in the Palatoplasty procedure?

The child will be placed under general anesthesia using a “sleepy air” mask and will remain “asleep” during the entire procedure. The child will then have an intravenous (IV) line placed (a tube going into the child’s vein). This is so medications and fluids can be given during and after the Palatoplasty.

The surgery itself is performed through the mouth. It consists of the surgeon moving tissue on both sides of the cleft and linking them together. This closes the opening to the nose and includes the muscles that lift the palate and help “pop” the ears. The repair is done in layers to create a normal palate.

Palatoplasty surgery requires about 2 to 3 hours. The child will sleep most of the first day because of anesthesia effects. By the second day, the child should be acting a little more like himself, although irritable. The total hospital stay is usually two to three days.

Click on the "Button" below, If you have any Query/Question regarding "Cost of Palatoplasty Surgery in Delhi "

What is the success rate of palatoplasty in the achievement of normal speech?

As each case is different, the surgeon can give a better idea for your individual child. Most of the time (80%), development of the palate and speech is normal after only one surgical procedure. However, sometimes additional speech therapy or a Pharyngoplasty may be necessary to achieve optimal speech production.

The need for additional surgeries is usually not determined until your child reaches 4 to 5 years of age when speech development is nearing completion. At this time, a speech evaluation and assessment for risk or presence of velopharyngeal incompetence (VPI) are undertaken. VPI means that the back of the palate cannot touch the back of the throat during the speech, which can result in hypernasal speech (sounds like talking through the nose).

Are there any complications from Palatoplasty?

The most common complication is bleeding, which can be controlled if it occurs. It is kept to a minimum by using medicines and special instruments that stop bleeding. Airway blockage can also be a concern.

Careful attention is paid to the airway by the surgeon (an airway specialist) and the pediatric anesthesiologist (the doctor who puts the child to “sleep”). Sometimes a small tube is placed in the nose before the child is awakened to help with any breathing problems.

Another complication may be the development of a fistula (connection between the nose and mouth) at the site of repair. Many times these will heal spontaneously. If not, they can be surgically closed.

The doctor can easily address other complications, such as loss of tissue, scarring, and continued hyper-nasal speech. The various risks and complications associated with palatoplasty will be discussed in detail with the patient before the procedure.

What are the different tests which have to be performed before Palatoplasty?
  1. Blood Test

Click on the "Button" below, If you have any Query/Question regarding "Cost of Palatoplasty Surgery in Delhi "

Comments

Ask a Query