submucous cleft palate

submucous cleft palate

a separation of the muscle in the soft palate in which mucous membrane covers the defect; it may appear as a notch of the hard palate and bifurcation of the uvula.
Synonym(s): occult cleft palate

oc·cult cleft pal·ate

(ŏ-kŭlt' kleft pal'ăt)
Lack of closure in the bone of the hard palate or muscle of the soft palate, but with full closure of the overlying surface tissues.
Synonym(s): submucous cleft palate.
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Table 1: Gender and age range of participants Gender Age range 0-3, 4-7, 8-12, 13-18, Total, n (%) n (%) n (%) n (%) n (%) Female 6 (10.7) 9 (16.1) 5 (8.9) 1 (1.8) 21 (37.5) Male 9 (16.1) 13 (23.2) 9 (16.1) 4 (7.1) 35 (62.5) Total 15 (26.8) 22 (39.3) 14 (25) 5 (8.9) 56 Table 2: Cleft types of participants Cleft types n (%) Bilateral primary complete 1 (1.8) Unilateral primary complete 1 (1.8) Unilateral primary incomplete 1 (1.8) Secondary complete 9 (16.1) Secondary incomplete 17 (30.4) Submucous cleft palate 3 (5.4) Submucous + bilateral primary 1 (1.8) Unilateral primary and secondary complete 16 (28.6) Unilateral primary complete secondary incomplete 1 (1.8) Bilateral primary secondary complete 4 (7.1) VPI without any cleft 2 (3.6) VPI: Velopharyngeal insufficiency
Submucous cleft palate in the differential diagnosis of feeding difficulties.
A total of 24 patients with the diagnosis of submucous cleft palate were treated by our team during the period of time included in this study (Figure 1).
Among the 13 non-syndromic, submucous cleft palate patients, seven had sufficient VPI to require a primary Furlow Z-palatoplasty (Figure 3).
However, submucous cleft palate is a relatively rare variant of palatal cleft.
We found the Furlow Z-palatoplasty to be an effective procedure in the treatment of patients with submucous cleft palate and VPI.
(1990) Submucous cleft palate in the differential diagnosis of feeding difficulties.
In regards with the submucous cleft palate and bifid uvula, both can be considered as microforms of isolated palatal clefting and are probably the result of disturbances in the local mesenchyme at the time of ossification of the palatal bridge and merging of the margins of the soft palate.
Poswillo D: The pathogenesis of submucous cleft palate. Scand J Plast Reconstr Surg 1974; 8: 34-41.
Dental abnormalities in permanent dentition in children with submucous cleft palate. Acta Odontologica Escandinava.
A submucous cleft palate, notching of the uvula, large palatal blood vessels, and poor lateral wall movement can be identified.
Health visitors may pick up late-diagnosed palate babies or those with submucous cleft palates. These babies may present as failing to thrive, or be slow feeders who have been unable to breastfeed.