| Popis: |
A new microsurgical closure of the soft cleft palate was done in ten cases. The essence of the surgical procedure is summarized in three points; 1) a pancaked shaped musculomucosal flap of the soft palate and if necessary mucoperiosteal flap of the hard palate, 2) a whole layer Z-plasty at the palatopharynge:l muscle region, and 3) muscle sling of the levator veli palatini muscle. This surgical approach never exposes the retromolar region, which is a growth center, nor severes the lesser palatine nerve. Therefore, we expect a better growth of the maxillary and palatal bones, and less chance of anesthesia of the soft palate and of atrophy of the mucosal gland. |
