Thursday, December 11, 2014

Handle with care-the large tongue in isolated cleft palate


The large tongue in isolated cleft palate can cause problems post operatively,so this had to be handled with care by the cleft palate surgeon. It is not a good idea to reposition the levator under tension in this case because it is sure to cause post op airway problems. I encountered one post op probems many years ago in such a case,and the patient had to be observed in the ICU for 48 hours post op.Thankfully, her airway problems  got better after the first 24 hours.The receovery was stormy in the initial 8-20 hours post op,but subsided after that period.
These days, I do a loose approximation of the levators in similar cases and do not face the same problems.

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