ArticleThe Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association2026
Palatal Osteogenesis After Cleft Palatoplasty: Does the Bone Grow?
Article in The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
ObjectiveHard palate osteogenesis after primary palatoplasty is a concept that remains poorly defined. This study aims to investigate the impact of palatoplasty on hard palate osteogenesis.DesignRetrospective cohort study.SettingTertiary care academic hospital.PatientsSixty-six patients who underwent primary palatoplasty followed by postoperative computed tomography (CT) imaging.InterventionsPrimary palatoplasty and postoperative CT imaging obtained at least 1 year after surgery.Main outcome measuresThe primary endpoint is the dimensions of the hard palatal cleft after palatoplasty. Secondary endpoints included fistula formation and the impact of surgical technique and age at palatoplasty on residual cleft size.ResultsNo patients achieved complete osseous closure of the hard palate, with an average residual cleft involving 41.4% ± 16.8% of the hard palate. Veau IV patients exhibited the largest residual clefts and highest rates of fistula formation. Larger cleft defects were significantly associated with an increased fistula risk, with a 0.64% increase in fistula formation for every 1% increase in hard palate involvement. Palatoplasty performed before age 1 was associated with significantly smaller residual clefts than surgery after age 2 (
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