Ufa, Russian Federation
Ufa, Ufa, Russian Federation
from 01.01.2018 until now
Ufa, Ufa, Russian Federation
Ufa, Ufa, Russian Federation
Ufa, Russian Federation
from 01.01.1983 until now
Ufa, Ufa, Russian Federation
from 01.01.2004 until now
Ufa, Ufa, Russian Federation
Ufa, Ufa, Russian Federation
UDK 616.31 Стоматология. Заболевания ротовой полости и зубов
Objectives. Reconstructive surgery to correct a congenital cleft palate is called uranoplasty. In the early postoperative period after uranoplasty, surgeons often encounter several problems: suture dehiscence, inflammation of the wound edges and the addition of a secondary infection to the wound process. The development of complications after uranoplasty is influenced by the general condition of the child, somatic and dental diseases. It is relevant and important to study the outcomes of uranoplasty in children with congenital cleft palate and evaluate the results for postoperative complications. Purpose. To analyze the outcomes of uranoplasty in children with congenital cleft palate, to determine the frequency and types of postoperative complications. Methodology. The article presents clinical examination data of 273 children with congenital cleft palate after uranoplasty over the past 5 years. Results. In children aged 2–5 years with congenital cleft palate after uranoplasty, complications were noted in 19.78% of cases, among which velopharyngeal insufficiency was present in 44.44% of operated children, a short cicatricial palate was noted in 35.19% of children, perforated 20.37% of examined children have a palate defect. Conclusions. After uranoplasty, complications arise as a result of the inflammatory process in the wound area. The standard protocol for patient management after uranoplasty involves the administration of an antibacterial drug intraoperatively. In order to increase the effectiveness of the prevention of postoperative complications after uranoplasty in children with congenital cleft palate, it is necessary to develop and implement therapeutic measures aimed at reducing the inflammatory process in the wound area and the formation of an elastic scar.
congenital cleft palate, complications of uranoplasty, velopharyngeal insufficiency, scar short palate, perforated palate defect
1. Mitropanova M.N. Osobennosti funkcionirovaniya immunnoy sistemy u detey s vrozhdennymi rasschelinami guby i neba na etapah hirurgicheskogo lecheniya. Stomatologiya detskogo vozrasta i profilaktika. 2017;16(61):79-83. [M.N. Mitropanova. Features of the functioning of the immune system in children with congenital cleft lip and palate at the stages of surgical treatment. Dentistry of childhood and prevention. 2017;16(61):79-83. (In Russ.)]. https://elibrary.ru/item.asp?id=29206060
2. Rogova L.N., Fomenko I.V., Timoshenko A.N. Immunologicheskaya i mikrobiologicheskaya harakteristika slizistoy obolochki polosti rta u detey s vrozhdennoy rasschelinoy verhney guby i neba (obzor literatury). Volgogradskiy nauchno-medicinskiy zhurnal. 2016;3(51):19-22. [L.N. Rogova, I.V. Fomenko, A.N. Timoshenko. Immunological and microbiological characteristics of the oral mucosa in children with congenital cleft lip and palate (literature review). Volgograd Scientific Medical Journal. 2016;3(51):19-22. (In Russ.)]. https://elibrary.ru/item.asp?id=27249177
3. Danilova M.A., Aleksandrova L.I. Kachestvo zhizni detey s vrozhdennoy rasschelinoy guby i neba. Stomatologiya detskogo vozrasta i profilaktika. 2018;17(3):54-57. [M.A. Danilova, L.I. Aleksandrova. Quality of life in children with congenital cleft lip and palate. Dentistry of childhood and prevention. 2018;17(3):54-57. (In Russ.)]. DOI:https://doi.org/10.25636/PMP.3.2018.3.10
4. Musahodzhaeva D.A., Inoyatov A.Sh., Yakubov Sh.N. Nekotorye pokazateli immunnoy sistemy detey s vrozhdennoy rasschelinoy guby i neba. Problemy biologii i mediciny. 2011;4(67):33. [D.A. Musakhodzhaeva, A.Sh. Inoyatov, Sh.N. Yakubov. Some indicators of the immune system of children with congenital cleft lip and palate. Problems of biology and medicine. 2011;4(67):33. (In Russ.)]. https://inlibrary.uz/index.php/problems_biology/article/view/6728
5. Chuykin O.S., Kuchuk K.N., Chuykin S.V., Mochalov K.S., Davletshin N.A., Akat'eva G.G., Makusheva N.V., Ganieva R.A. Immunologicheskie, fiziko-himicheskie i biohimicheskie pokazateli rotovoy zhidkosti u detey s vrozhdennoy rasschelinoy neba i posleoperacionnym defektom neba. Problemy stomatologii. 2022;18(1):121-129. [O.S. Chuikin, K.N. Kuchuk, S.V. Chuikin, K.S. Mochalov, N.A. Davletshin, G.G. Akatieva, N.V. Makusheva, R.A. Ganieva. Immunological, physicochemical and biochemical parameters of oral fluid in children with congenital cleft palate and postoperative palate defect. Actual problems in dentistry. 2022;18(1):121-129. (In Russ.)]. DOIhttps://doi.org/10.18481/2077-7566-22-18-1-121-129.
6. Chuykin S.V., Davletshin N.A., Kuchuk K.N., Chuykin O.S., Grin' E.A., Muratov A.M. Analiz rezul'tatov i oslozhneniy uranoplastiki u detey s vrozhdennoy rasschelinoy guby i neba. Problemy stomatologii. 2020;16(1):133-138. [S.V. Chuikin, N.A. Davletshin, K.N. Kuchuk, O.S. Chuikin, E.A. Grin, A.M. Muratov. Analysis of the results and complications of uranoplasty in children with congenital cleft lip and palate. Actual problems in dentistry. 2020;16(1):133-138. (In Russ.)]. DOI:https://doi.org/10.18481/2077-7566-20-16-1-133-138
7. Ershova O.Yu., Leonov A.G., Tkachenko A.E., Dolgopolova G.V. Kompleksnyy podhod k reabilitacii detey s vrozhdennoy rasschelinoy verhney guby i neba v usloviyah specializirovannogo centra. Sistemnaya integraciya v zdravoohranenii. 2015;1(25):26-35. [O.Yu. Ershova, A.G. Leonov, A.E. Tkachenko, G.V. Dolgopolova. An integrated approach to the rehabilitation of children with congenital cleft lip and palate in a specialized center. System integration in healthcare. 2015;1(25):26-35. (In Russ.)]. https://elibrary.ru/item.asp?id=23868975
8. Fomenko I.V., Filimonova E.V., Kasatkina A.L., Kraevskaya N.S. Analiz rezul'tatov kompleksnogo lecheniya detey s vrozhdennoy odnostoronney rasschelinoy verhney guby i neba v zavisimosti ot metoda plastiki defekta neba. Klinicheskaya stomatologiya. 2016;1(77):16-21. [I.V. Fomenko, E.V. Filimonova, A.L. Kasatkina, N.S. Kraevskaya. Analysis of the results of complex treatment of children with congenital unilateral cleft lip and palate, depending on the method of plastic surgery of the palate defect. Clinical dentistry. 2016;1(77):16-21. (In Russ.)]. https://elibrary.ru/item.asp?id=25718060
9. Gonchakov G.V., Gonchakova S.G., Vologzhanina A.V. Vrozhdennye rasscheliny neba: sravnitel'naya ocenka rezul'tatov hirurgicheskogo lecheniya. Kremlevskaya medicina. Klinicheskiy vestnik. 2017;4(1):40-44. [G.V. Gonchakov, S.G. Gonchakova, A.V. Vologzhanina. Congenital cleft palate: comparative assessment of the results of surgical treatment. Kremlin medicine. Clinical Bulletin. 2017;4(1):40-44. (In Russ.)]. https://elibrary.ru/item.asp?id=32400413
10. Rogozhina Yu.S., Obuhova N.V., Blohina S.I., Tkachenko T.Ya. Osobennosti korrekcii nebno–glotochnoy nedostatochnosti i narusheniy rechi u detey s vrozhdennoy rasschelinoy guby i neba pri rannem hirurgicheskom vmeshatel'stve. Sistemnaya integraciya v zdravoohranenii. 2018;3(40):26-39. [Yu.S. Rogozhina, N.V. Obukhova, S.I. Blokhina, T.Ya. Tkachenko. Features of correction of velopharyngeal insufficiency and speech disorders in children with congenital cleft lip and palate during early surgical intervention. System integration in healthcare. 2018;3(40):26-39. (In Russ.)]. https://elibrary.ru/item.asp?id=36781577