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Management of Palatal Flaps Having No Pedicle During Palate Revision

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Surgical Atlas of Cleft Palate and Palatal Fistulae

Abstract

If the pedicle has been damaged during previous surgery, salvage of the mucoperiosteal flap becomes a nightmare. We describe a new technique to save the mucoperiosteal flap. This patient developed SubTotal bilateral fistula after repair of bilateral cleft palate. More than 40% of the anterior palate was lost bilaterally. Patient’s speech was unintelligible with complaints of nasal regurgitation. Nasal layer was closed by turn-in flaps while the oral layer cover was provided by advancement of the palatal-musculomucosal flaps and bilateral buccal sulcus mucosal flaps.

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Fayyaz, G.Q., Azam, M. (2022). Management of Palatal Flaps Having No Pedicle During Palate Revision. 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_87-2

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  • DOI: https://doi.org/10.1007/978-981-15-3889-6_87-2

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-15-3889-6

  • Online ISBN: 978-981-15-3889-6

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Chapter history

  1. Latest

    Management of Palatal Flaps Having No Pedicle During Palate Revision
    Published:
    23 April 2022

    DOI: https://doi.org/10.1007/978-981-15-3889-6_87-2

  2. Original

    Management of Palatal Flaps Having No Pedicle During Palate Revision Cases
    Published:
    01 April 2022

    DOI: https://doi.org/10.1007/978-981-15-3889-6_87-1