[Oral mucosa flap in the top of fissure for nasal side mucosa repair of wide incomplete cleft palate].
OBJECTIVE
To explore a method to repair nasal side mucosa of wide incomplete cleft palate and reduce the tension of wound by using oral mucosa flap in the top of fissure.


METHODS
27 cases of wide incomplete cleft palatal were included in the study. On the basis of two-flap palatoplasty, the triangular oral mucosa flap in the top of fissure was turned and sewed with side mucosa to repair nasal side mucosa of wide palatal cleft.


RESULTS
Without postoperative active bleeding, airway obstruction and wound infection, 27 cases had been repaired satisfactorily by this procedure. 1-3 months followed up demonstrated that all the wounds healed well without wound dehiscence or fistulas and the scars in the palate were not severe.


CONCLUSIONS
Using oral mucosa flap in the top of fissure to repair nasal side mucosa of wide palatal cleft can get a reduced tension and correspondingly increase the width of mucoperiosteal flaps so as to decrease incidence rate of palatal fistulas and reduce formation of scars.
Tian
Xiao-fei
XF
Dept. of Plastic and Burn Surgery, Children's Hospital of Chongqing Medical University, Chongqing 400014, China.
Qiu
Lin
L
Fu
Yue-xian
YX
Liu
Yan
Y
Gan
Li-qiang
LQ
D002972:Cleft Palate; D005260:Female; D006801:Humans; D009061:Mouth Mucosa; D009297:Nasal Mucosa; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps