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Hard palate side-reversed mucoperiosteal flap used in repairing broad cleft palate
Pages: 286-287
Year: Issue:  3
Journal: Qianwei Journal of Medicine & Pharmacy

Keyword:  Cleft palate Operation Mucoperiosteal flap;
Abstract: Objective To study a new method to repair broad cleft palate.Methods One side hard palate mucoperiosteum was incised from far-side and a side-reversed mucoperiosteal flap was made,which pedicle located at the same side of cleft edge.The flap was reversed to inside for repairing pharyngonasal cleft. The other side mucoperiosteal flap was slid to cover the side-reversed one.Results 73 cases of complete unilateral or bilateral cleft palate were repaired by above-mentioned method.All of them healed by first intervention without recleft.Three months later,pharyngorhinoscopy showed that complete palatopharyngeal close function and obviously improved pronunciation were obtained in 64 cases;well unilateral soft palate movement and improved palatopharyngeal close function and pronunciation were observed in 9 cases. Conclusion Hard palate side-reversed mucoperiosteal flap is suitable for complete and incomplete cleft palate.Especially in broad cleft palate cases, their palatopharyngeal close function and pronunciation would be improved obviously.
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