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March 1962

Palate Reconstruction Technique

Arch Otolaryngol. 1962;75(3):231-237. doi:10.1001/archotol.1962.00740040239010

The integrity of the hard and soft palate is essential for the normal physiological functions of speaking, breathing, and eating. Deficiencies in this roof to the oral cavity may be the result of congenital clefts, infection, trauma, and extirpative operations for benign and malignant tumors. The intent of this paper is to present a technique of reconstruction of the palate by transposition of a brow flap. This technique is particularly applicable to the adult patient who has lost a section of his palate as a result of an extirpative operation for tumor and who rejects rehabilitation by prosthesis.

Many authors insist that the best solution for a cleft palate in partial or total upper maxillary resections is a prosthesis with a protuberance which occludes the palatine orifice. We have insisted and still believe that this is not the solution. This may be appropriate when the patient is very old, or

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