A procedure combining double opposing Z-plasty with buccal flap and skin graft for a cleft palate patient with short palate
Shinji Kobayashi,
Kazunori Yasumura,
Yuki Mizuno,
Mayumi Suzuki,
Takashi Hirakawa,
Toshihiko Satake,
Yuichiro Yabuki,
Jiro Maegawa
Affiliations
Shinji Kobayashi
Department of Plastic and Reconstructive Surgery, Kanagawa Children's Medical Center; Corresponding author. Shinji Kobayashi. Kanagawa Children`s Medical Center, Department of Plastic and Reconstructive Surgery, Mutsukawa 2-138-4, Minami-ku, Yokohama, Kanagawa, Japan. Zip: 232-8555. Telephone: +81-45-711-2351; Fax: +81-45-721-3324.
Kazunori Yasumura
Department of Plastic and Reconstructive Surgery, Kanagawa Children's Medical Center
Yuki Mizuno
Department of speech therapy, Kanagawa Children's Medical Center
Mayumi Suzuki
Department of speech therapy, Kanagawa Children's Medical Center
Takashi Hirakawa
Hirakawa Orthodontic Clinic
Toshihiko Satake
Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital
Yuichiro Yabuki
Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital
Jiro Maegawa
Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital
Cleft palate patients with a short palate are sometimes encountered and it is difficult to achieve effective primary palatoplasty and good speech in these cases. Our purpose was to establish an effective palatoplasty for a cleft palate patient with Randall type III short palate. Buccal musculomucosal flap on the nasal side and skin graft on the oral side were performed, along with double opposing Z-plasty. Speech improved postoperation. This procedure brought the nasopharyngeal area closer to the normal anatomical state. In terms of disadvantages, the procedure is rather complicated and depends on the engraftment rate.
