Incomplete cleft palate repair with plane-based coping technique. A case report

Background: Cleft palate represents one of the most frequent congenital craniofacial malformations, with the incomplete soft cleft constituting a distinct anatomical variant limited to the posterior palate. Although clinically less extensive than complete forms, this condition entails significant functional repercussions, particularly in speech, swallowing, and hearing, requiring precise surgical correction and multidisciplinary management. We present the case of an 18-month-old female with a partial soft cleft palate who underwent surgical repair through layered dissection and closure, achieving satisfactory intraoperative results with minimal bleeding. This case highlights the importance of early diagnosis, detailed anatomical evaluation, and careful surgical planning to optimize velopharyngeal function. Despite optimal surgical repair, complications such as fistulas, dehiscences, or persistent velopharyngeal insufficiency may arise, necessitating complementary interventions including speech therapy or secondary procedures. Long-term outcomes are best achieved through coordinated multidisciplinary follow-up, ensuring both functional rehabilitation and psychosocial well-being. KEY WORDS: Cleft palate, Velopharyngeal insufficiency, Palatoplasty