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Surgical Technique
March 2006

The Double Transposition Flap for Closure of the Extremely Wide Hard Palate Cleft

Author Affiliations
 

Author Affiliations: Department of Otolaryngology–Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, and the Division of Otolaryngology and Facial Plastic Surgery, John Peter Smith Hospital, Fort Worth, Tex.

Correspondence: Yadranko Ducic, MD, FRCSC, Division of Otolaryngology and Facial Plastic Surgery, John Peter Smith Hospital, 1500 S Main St, Suite 303, Fort Worth, TX 76104 (yducic@sbcglobal.net).

Arch Facial Plast Surg. 2006;8(2):123-127. doi:10.1001/archfaci.8.2.123
Abstract

Repair of the extremely wide hard palate cleft can be done effectively with a double transposition flap. All cases referred for closure of cleft palates from 1997 to 2005 were considered for this study. Of these, 6 were classified as extremely wide cleft palates thought not to be treatable with standard closure techniques. A double transposition flap was used in each case. All patients tolerated the procedure well; no flap failure or dehiscence was noted; and none has required secondary repair. All patients tolerated an appropriate diet following flap repair. Two patients who were gastrostomy tube dependent preoperatively no longer required gastrosotomy tubes postoperatively.

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