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KMID : 0903220000010010101
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Journal of the Korean Cleft Palate-Craniofacial Association
2000 Volume.1 No. 1 p.101 ~ p.103
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Reconstruction of Wide Palatal Defect Using Mucoperiosteal Hinge Flap and Pushback Palatoplasty.
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Lee Se-Il
Lee Han-Sol
Hwang Kun
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Abstract
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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.
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KEYWORD
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cleft palate, palatoplasty
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