Demyd O. Optimization of methods of hard and soft palate repair in children with congenital cleft

Thesis is dedicated to increasing the effectiveness of treatment of patients with congenital cleft palate by improving surgical techniques one- and two-step elimination of the defect and the substantiated timeframe of their application. It is shown that the most frequent complications of surgical treatment of children with cleft palate is the formation of the palate defects. Considerable changes in the state of upper respiratory tract in children older than 5 years, which cause disorders biocenosis mouth and greatly complicate the surgery, increasing the risk of postoperative complications. It proved a direct dependence of changes of biochemical indices of oral liquid children with congenital cleft palate on the complexity of congenital abnormalities, as well as established a significant change in hepatic serum markers, resulting in the inclusion in the comprehensive treatment of hepatoprotectors. Supplemented microbiocenosis scientific understanding of the oral cavity in children with congenital disorders and demonstrated his considerable disturbances in patients with bilateral cleft palate combined. Use of improved methods of restoring the palate in children with congenital cleft makes it possible to reduce the timing of the reversal of the palate, leads to a better recovery of the patient in the postoperative period, the patient accelerates the adaptation in society.