Palatal tear: A complication during anterior maxillary osteotomy using cupar technique

Abstract

This is case report of 20-year-old female who was surgically treated with anterior maxillary osteotomy (AMO) in maxilla and anterior sub apical osteotomy in mandible. AMO was done with Cupar technique in which a palatal tear occurred intraoperatively. The palatal tear was managed conservatively maintaining the blood supply to osteotomized segment by Coe pack application & later on splint fabrication and antiobiotics and decongestants. Other choices like a buccal fat pad or a tongue flap can be used if fistula or tear is large.

Keywords

• Anterior maxillary osteotomy
• Cupar technique
• palatal tear