J Korean Cleft Palate-Craniofac Assoc.  2000 Oct;1(1):101-103.

Reconstruction of Wide Palatal Defect Using Mucoperiosteal Hinge Flap and Pushback Palatoplasty

• Lee SI
• Lee HS
• Hwang K

Abstract

This article describes a simple, new surgical technique that was used to provide a complete two-layer closure of wide palatal defect in a case as a surgical complication of transpalatatal approach for resection of skull base chordoma. The nasal layer was reconstructed with triangular shape oral mucoperiosteal turnover hinge flap based on anterior margin of palatal defect and rectangular shape lateral nasal mucosal hinge flaps. The oral layer was reconstructed with conventional push-back V-Y advacement 2-flaps palatoplasty. Two layers of flap were secured with two key matrix suture for flap coaptation. This technique has some advantages, simple, short operation time, one stage procedure, no need of osteotomy. It can close medium to large defect of palate or wide cleft palate and can prevent common complication of oronasal fistula which was caused by tension among closure of flap in palatoplasty.

Keyword

cleft palate; palatoplasty

MeSH Terms

Chordoma
Cleft Palate
Fistula
Osteotomy
Palate
Skull Base
Sutures