Primary palatoplasty by Bardach technique

PEDRO HENRIQUE DA HORA SALES, EDSON LUIZ CETIRA-FILHO, FÁBIO WILDSON GURGEL COSTA, JOSÉ FERREIRA DA CUNHA-FILHO, JAIR CARNEIRO LEÃO

The cleft lip and palate are congenital malformations that can affect the lip, palate or both, and are due to errors in the fusion of the embryonic facial processes by changes in the normal development of the primary or secondary palate. Patients with such fissures present complex anatomical changes, being a challenge to the surgeons regarding rehabilitation. The objective of the present article is to present a patient with cleft palate submitted to a surgical procedure of palatoplasty using the Bardach technique under general anesthesia. Slit margin incisions were made, as well as lateral relaxing incisions accompanied by incisions in the anterior pedicles. Total mucoperiosteal detachment was performed. The musculature of the soft palate was deinserted and dissected, in order to be positioned in the proper position. Sutures were performed in the nasal, muscular and oral planes, and the lateral relaxing in- cisions healed by second intention. After three months of postoperative follow-up, the patient showed no signs of fistulas and presents good mobility of the soft palate musculature. The Bardach technique presents as an excellent option for primary palatoplasties, offering high success rates and few associated complications.

Keywords: Cleft palate. Oral surgical procedures. Congenital abnormalities.

How to cite: Sales PHH, Cetira-Filho EL, Costa FWG, Cunha-Filho JF, Leão JC. Primary palatoplasty by Bardach technique. J Braz Coll Oral Maxillofac Surg. 2021 May-Aug;7(2):44-9.

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