[A preliminary report of cleft palate repair by rotation and advancement of full thickness soft palate].
OBJECTIVE
To introduce a new method of functional cleft palate repair.


METHODS
Square flap A and triangular flaps B, C, D were designed on the each sides of defect at soft palate. They were advanced and rotated, each flap was inserted to the opposite side and then sutured. The lavator veli (LV) muscle was detached and sutured to reconstruct the steady LV muscle sling.


RESULTS
This method was applied in 37 cases with satisfactory results of extending the soft palate, forming the dynamic soft palate muscular sling, and achieving velopharyngeal closure (VPC) 31 cases were flowed-up for half year to 2 years, the effects of operation are stable.


CONCLUSIONS
This method not only close the cleft but also restore the soft palate's function of elevating and pushing back to achieve the ideal VPC.
Wu
W
W
Center of Cleft Lip and Cleft Palate Treatment of Hangzhou Plastic Surgery Hospital, Hangzhou 310014, China.
Yan
S
S
Xu
J
J
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D002972:Cleft Palate / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D019647:Oral Surgical Procedures / Q000379:methods*; D010156:Palatal Muscles / Q000503:physiopathology; D010160:Palate, Soft / Q000601:surgery*; D010614:Pharynx / Q000503:physiopathology; D016896:Treatment Outcome