[Modified palatoplasty for children of Pierre Robin sequence with cleft palate：clinical analysis of 12 consecutive cases].

PURPOSE: To explore a safe, effective and functional surgical treatment for children of Pierre Robin sequence (PRS) with cleft palate.

METHODS

Twelve children of PRS with cleft palate underwent mandibular distraction osteogenesis before cleft palate surgery in order to correct severe hypoxia. A modified palatoplasty was then performed, the palatal flaps on both sides were not elevated in the anterior portions to prevent soft palate backward moving, and the levator veli palatini was repositioned simultaneously.

RESULTS

All children achieved velopharyngeal closure without dyspnea after follow-up of 10-12 months.

CONCLUSIONS

Measures should be taken to avoid backward movement of the soft palate, which may result in dyspnea of children with PRS in palatoplasty.