the palatal plate

When the cleft palate is very wide, and the tongue interposes in the cleft, then we sometimes insert a resinous palatal plate (photo 4). This plate is tailor-made. You first need to take a print of the palate (photos 1 and 2). Then the plate is made from a plaster cast (photo 3).

The plate is put in place, adjusted once a month if necessary, until the surgery meant to close the palate (see palate surgery) between 4 and 6 months.

It facilitates bottle feeding, avoids lingual interposition in the cleft; it soothes the child. The parents clean it themselves several times a day. It is easy to handle.

Prise d'empreinte d'un bébé pour une plaque palatine | Fentes Labio Palatines

Impression taking at the newborn

Moulage d'une plaque palatine | Fentes Labio Palatines

Molding

Obturation de la fente palatine - Plaque palatine | Fentes Labio Palatines

Plaster model and shutter of the cleft

Plaque palatine obturatrice en résine dure | Fentes Labio Palatines

Hard resin shutter plate

This plate is less and less used because early surgical techniques performed around the age of one or two months partially obstruct the hard bone palate. The plaque becomes troublesome and sometimes irritates the operated mucosa. Its usefulness is then weak.