What’s New in Cleft Palate and Velopharyngeal Dysfunction Management: An Update |Journal CME Article-The Double-Opposing Buccal Flap Procedure for Palatal Lengthening

The Double-Opposing Buccal Flap Procedure for Palatal Lengthening

Video Transcription

Video Summary

The video details the double opposing buckle flap procedure for palatal lengthening, integrating the anatomic cleft restoration philosophy (ACRP) which combines modern embryology with reconstructive techniques. Key is adding tissue to address cleft defects. The method involves using one buccal flap to restore the nasal side mucous membrane and another from the opposite cheek for the oral side. These flaps are flexible, grow with the patient, and provide immediate length. The procedure relies on precise detailing of defects and strategic tissue replacement, aiming for effective primary surgery outcomes to prevent velopharyngeal dysfunction (VPD).

Keywords

double opposing buckle flap

palatal lengthening

cleft restoration

tissue replacement

velopharyngeal dysfunction