title: [Unilateral buccinator myomucosal island flap with double opposing Z-plasty for wider palatal cleft repair].
abstract: OBJECTIVE
  To explore a method to repair larger cleft palate and lengthen soft palate without oral palate raw surface and scar formation, reduce the effect on maxilla and dental arch development.
  
  
  METHODS
  A modified double opposing Z-plasty was used to lengthen soft palate and the nasal palate was closed by using large turn-over mucoperiosteal flaps on the oral surface of the junction of the hard palate and soft palate, oral raw surface on the palate was closed by a buccal myomucosal island flap.
  
  
  RESULTS
  Thirty-six palates have been repaired by this procedure, all of which had satisfactory results without flap necrosis, infection, difficulties in opening mouth and facial nerve injury except two post-operative fistulas. Eight patients were followed up and all display complete velopharyngeal closure.
  
  
  CONCLUSIONS
  Using unilateral buccinator myomucosal island flap with double opposing Z-plasty to repair wider palatal cleft can get a satisfactory soft palate lengthening. At the same time it can avoid bone surface exposing and scar formation; it is a safe and reliable procedure.
authors.affiliation: Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Beijing 100041, China.
authors.forename: Ze-hong
authors.initials: ZH
authors.lastname: Shi
authors.forename: Sen-kai
authors.initials: SK
authors.lastname: Li
authors.forename: Yang-qun
authors.initials: YQ
authors.lastname: Li
authors.forename: Ning-bei
authors.initials: NB
authors.lastname: Yin
authors.forename: Bin
authors.initials: B
authors.lastname: Xiong
authors.forename: Zhen-min
authors.initials: ZM
authors.lastname: Zhao
mesh_terms: D000293:Adolescent; D002610:Cheek / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D002972:Cleft Palate / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D009061:Mouth Mucosa / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D055815:Young Adult