Ann Surg Case Rep | Volume 4, Issue 2 | Research Article | Open Access

Mucoperiosteal Hinge Flap to Primary Closure of Adult Cleft Palate

Maxime Tabey1*, Laurine Pouzet2, Marie-Laurence Poli-Merol3 and Caroline Francois2

1Department of Plastic Surgery, University of Reims-Champagne Ardenne, Robert Debre Hospital, France
2Department of Plastic Surgery, University of Reims-Champagne Ardenne, Maison Blanche Hospital, France
3Department of Pediatric Surgery, University of Reims-Champagne Ardenne, American Memorial Hospital, France

*Correspondance to: Maxime Tabey 

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Abstract

Aim: Provide an alternative to conventional pediatric surgical techniques to primary closure of large adult cleft palate. Methods: Here we report a novel technique for primary closure of hard palate with a mucoperiosteal hinged flap through a clinical case. Results: First we closed the nasal plane by the 180° rotation (rotation point on the anterolateral side of the cleft) of an oral mucoperiostal flap. Next, oral plane was closed by approximately 60° rotation of the contralateral fibromucosa after an incision according to Veau-Wardill-Kilner. An anterolateral area was left in wound healing. We had easy postoperative recovery periods (good healing, no fistula, getting back to normal eating habits). Conclusion: Pediatric primary surgical techniques for closing hard cleft palate aim at limiting the effects on maxillary growth. In case of primary closure of adult cleft palate, conventional pediatric surgery cannot be proposed because of the size of the defect. Maxillary growth is no longer the priority, so turning the mucoperiostal with a nasal pedicle and a hinge on the anterolateral side of the cleft, was in our experience a good technique thanks to the vascular safety of the flap and to the robustness of the fibromucosa.

Keywords:

Cleft palate; Cleft palate repair; Pedicled palatal flap; Mucoperiostal hinge flap; Palatal rotation flap

Citation:

Tabey M, Pouzet L, Poli-Merol M-L, Francois C. Mucoperiosteal Hinge Flap to Primary Closure of Adult Cleft Palate. Ann Surg Case Rep. 2021; 4(2): 1049.

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