Abstract
The main aim of cleft palate repair is to create a barrier between oral and nasal cavities and to have a good speech production. Palatal tissues should be dissected/released properly so that both the mucoperiosteal flaps can be sutured in the midline without any tension and the palate heals nicely without any fistula. Radical dissection of the greater palatine vessels facilitates medial movement of the mucoperiosteal flaps. This technique is very useful even in wide cleft palate as well as in palate re-repair cases. Even adult patients can be operated comfortably using radical dissection of the pedicle.
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References
Bardach J (1995) Two-flap palatoplasty: Bardach’s technique. Oper Tech Plast Reconstr Surg 2(4):211–214
Fayyaz GQ, Gill NA (2019) Pakistan comprehensive fistula classification: a novel scheme and algorithm for Management of Palatal Fistula/dehiscence. Plast Reconst Surg 143:140–151
Fayyaz GQ, Gill NA, Ishaq I et al (2015) A model humanitarian cleft mission: 312 cleft surgeries in 7 days. Plast Reconstr Surg Glob Open 3:e313
Fayyaz GQ, Gill NA, Chaudry A et al (2017) Radical dissection of greater palatine artery and dynamic reconstruction of cleft palate. Plast Reconstr Surg Glob Open 5:e1235
Jenny H (2018) A waiting time of 7 min is sufficient to reduce bleeding in oculoplastic surgery following the administration of epinephrine together with local anaesthesia. Acta Ophthalmologica 96:499–502
Morioka D, Yoshimoto S, Udagawa A et al (2007) Primary repair in adult patients with untreated cleft lip-cleft palate. Plast Reconstr Surg 120:1981–1988
Sommerlad BC (2003) A technique for cleft palate repair. Plast Reconstr Surg 112:1542–1548
Trier WC, Dreyer TM (1984) Primary Von Langenbeck palatoplasty with levator reconstruction: rationale and technique. Cleft Palate J 21(4):254–262
von Langenbeck B (1861) Operation derangeboren entotal enspal tendeshasten Gauinens nach einer neuen Methode. Deutsch KIm 8:231
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Fayyaz, G.Q., Daiem, M. (2022). Radical Dissection of Greater Palatine Vessels. 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_46-1
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DOI: https://doi.org/10.1007/978-981-15-3889-6_46-1
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Publisher Name: Springer, Singapore
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Online ISBN: 978-981-15-3889-6
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