Evidence-Based Practices in Cleft Palate Surgery | Journal CME Article-Journal CME Article: Evidence-Based Practices in Cleft Palate Surgery v6 of 6

Journal CME Article: Evidence-Based Practices in Cleft Palate Surgery v6 of 6

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Video Summary

To achieve optimal flap transposition at the hard-soft palate junction, we elevate the flaps from the mucoperiosteum using a right-angled beaver blade. This allows for a submucoperiosteal plane, enhancing mobility and reducing tension. The nasomuscular flap is elevated, incised, and transposed with a keystone stitch, narrowing the posterior pharynx. The oral flaps are then transposed, ensuring muscle is positioned posteriorly. Buccal fat pads support the oral mucosal flap, minimizing the risk of breakdown. Simple sutures are used to close all mucosal incisions, ensuring edges are everted and vascularity is maintained for successful transposition.

Keywords

flap transposition

mucoperiosteum

nasomuscular flap

buccal fat pads

mucosal incisions