Abstract
There are two objectives of Palate repair; creation of barrier between nasal & oral cavities and good speech production. Minimum age of palate repair is usually at 9 months. The Palatal muscles are aligned horizontally in a normal person but these are aligned obliquely upwards anteriorly in a cleft palate patient. The muscles are dissected away from the nasal mucosa and then shifted posteriorly and sutured in a horizontal (normal) position. The speech improves considerably when the normal anatomy of the palatal muscles is restored. Radical dissection of the pedicle is done on right side first and then medial movement of the right mucoperiosteal flap is assessed if it can be approximated comfortably to the left mucoperiosteal flap. Otherwise lateral releasing incision is made on left side as well and the left pedicle is dissected as well.
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References
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Fayyaz, G.Q. (2022). Modified Langenbeck Repair for soft palate cleft; Right incision only. In: Fayyaz, G.Q. (eds) Surgical Atlas of Cleft Palate and Palatal Fistulae. Springer, Singapore. https://doi.org/10.1007/978-981-15-3889-6_28-1
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DOI: https://doi.org/10.1007/978-981-15-3889-6_28-1
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Publisher Name: Springer, Singapore
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Online ISBN: 978-981-15-3889-6
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