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The square flap method for cleft palate repair.
Cleft Palate Craniofac J. 2007 Nov; 44(6):579-84.CP

Abstract

OBJECTIVE

To introduce a new surgical technique for repair of cleft palate using the square flap method.

DESIGN AND SETTING

A retrospective analysis of prospectively collected data.

PATIENTS AND METHODS

The procedure was performed from 1995 to 2004 in 21 males and 16 females with cleft palates of different types; the patients had a median age of 6.0 years and an average age of 9.4 years (range from 22 months to 23 years). In these patients, the square flap method, consisting of one rhombic flap and four triangular flaps, designed on the soft palate across the defect, was applied to the von Langenbeck procedure. After incisions, the flaps were rotated and advanced, and each flap was inserted into the opposite side and then sutured. The patients were followed from 6 months to 2 years, the velopharyngeal closure was examined by nasopharyngeal fiberscope and/ or x-ray radiography, and a clinical speech evaluation was performed.

RESULTS

In all cases, no problem of flap viability was encountered and all healed well. The postoperative results were satisfactory without any complications such as dehiscence, perforation, palatal fistula, or functional disturbance. The velopharyngeal closure and clinical speech evaluation were satisfactory, and the effects of the operation were stable.

CONCLUSIONS

The technique presented has been effective, with the advantages of palatal closure without tension, good muscular reconstruction, and sufficient lengthening of the soft palate.

Authors+Show Affiliations

Department of Plastic Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18177196

Citation

Xu, Jing-Hong, et al. "The Square Flap Method for Cleft Palate Repair." The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, vol. 44, no. 6, 2007, pp. 579-84.
Xu JH, Chen H, Tan WQ, et al. The square flap method for cleft palate repair. Cleft Palate Craniofac J. 2007;44(6):579-84.
Xu, J. H., Chen, H., Tan, W. Q., Lin, J., & Wu, W. H. (2007). The square flap method for cleft palate repair. The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, 44(6), 579-84. https://doi.org/10.1597/06-159.1
Xu JH, et al. The Square Flap Method for Cleft Palate Repair. Cleft Palate Craniofac J. 2007;44(6):579-84. PubMed PMID: 18177196.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The square flap method for cleft palate repair. AU - Xu,Jing-Hong, AU - Chen,Hong, AU - Tan,Wei-Qiang, AU - Lin,Jun, AU - Wu,Wei-Hua, PY - 2008/1/8/pubmed PY - 2008/1/23/medline PY - 2008/1/8/entrez SP - 579 EP - 84 JF - The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association JO - Cleft Palate Craniofac J VL - 44 IS - 6 N2 - OBJECTIVE: To introduce a new surgical technique for repair of cleft palate using the square flap method. DESIGN AND SETTING: A retrospective analysis of prospectively collected data. PATIENTS AND METHODS: The procedure was performed from 1995 to 2004 in 21 males and 16 females with cleft palates of different types; the patients had a median age of 6.0 years and an average age of 9.4 years (range from 22 months to 23 years). In these patients, the square flap method, consisting of one rhombic flap and four triangular flaps, designed on the soft palate across the defect, was applied to the von Langenbeck procedure. After incisions, the flaps were rotated and advanced, and each flap was inserted into the opposite side and then sutured. The patients were followed from 6 months to 2 years, the velopharyngeal closure was examined by nasopharyngeal fiberscope and/ or x-ray radiography, and a clinical speech evaluation was performed. RESULTS: In all cases, no problem of flap viability was encountered and all healed well. The postoperative results were satisfactory without any complications such as dehiscence, perforation, palatal fistula, or functional disturbance. The velopharyngeal closure and clinical speech evaluation were satisfactory, and the effects of the operation were stable. CONCLUSIONS: The technique presented has been effective, with the advantages of palatal closure without tension, good muscular reconstruction, and sufficient lengthening of the soft palate. SN - 1055-6656 UR - https://www.unboundmedicine.com/medline/citation/18177196/The_square_flap_method_for_cleft_palate_repair_ L2 - https://journals.sagepub.com/doi/10.1597/06-159.1?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -