Closure of fistula of the hard palate with two layers of mucoperiosteum

Abdel‐Aziz, Mosaad; Kamel, Ahmed; Fawaz, Mohamed; Rezk, Ibrahim; Kamel, Mohamed

doi:10.1016/j.ijporl.2017.10.037

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…Recently, a meta-analysis of the anatomy of the greater palatine foramen and canal was published. 10,11 In 13 studies (n = 4,798), the length of the greater palatine canal was 26.97 mm (95% CI, 23.65-30.29 mm). In 3 studies (n = 360), the anteroposterior diameter of the upper opening of the greater palatine canal was 3.88 mm (95% CI, 3.77-3.99 mm).…”

Section: Discussionmentioning

confidence: 99%

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Freeing and Stretching the Palatine Vessels From the Greater Palatine Foramen in Palatoplasty

Hwang,

Lee,

Han

2023

Journal of Craniofacial Surgery

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The aim of this paper is to present how to free and stretch the palatine vessels from the greater palatine foramen in palatoplasty. After a mucoperiosteal flap is raised, periosteal elevator is passed behind the palatine vessels to detach the periosteum around the vessels. Then, a blunt right-angle instrument is placed behind the palatine vessels, and the vessels are pulled from the foramen in the superior aspect, slightly forward (63 degrees) and medially (19 degrees) according to the direction to the greater palatine canal (GPC). The nasal mucosa is also released from the hard palate and from the lateral pharyngeal wall. After dividing the palatal aponeurosis and elevating the anterior flap, the first suture is inserted through the nasal layer of the mucosa at the level of the posterior border of the hard palate (A suture). The nasal layer is approximated and sutured. After the closure of the buccal layer, the 2 posterior flaps are joined to the small anterior flap. Finally, A suture is tied. In 60 cases of pushback palatoplasty, the palatine vessels were stretched from the greater palatine foramen. In literatures, the length of GPC is 26.97 mm. Anteroposterior diameter of the upper opening of GPC is 3.88 mm. The angle between the vertical plane and the axis of GPC is 19.09 degrees. The angle between the transverse plane and the axis of GPC is 62.63 degrees. Probably, this information is the values obtained in adults. As a matter of fact, similar values were obtained in our study on this subject.

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Section: Discussionmentioning

confidence: 99%

“…Recently, a meta-analysis of the anatomy of the greater palatine foramen and canal was published 10,11 . In 13 studies (n=4,798), the length of the greater palatine canal was 26.97 mm (95% CI, 23.65–30.29 mm).…”

Section: Discussionmentioning

confidence: 99%

Freeing and Stretching the Palatine Vessels From the Greater Palatine Foramen in Palatoplasty

Hwang,

Lee,

Han

2023

Journal of Craniofacial Surgery

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Excision of Palatal Neoplasms

Slijepcevic,

Petrisor,

Wax

2024

Springer Surgery Atlas Series

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Reconstruction of a Huge Residual Palatal Cleft

Sancak

Naifoğlu

Yurttutan

et al. 2020

Journal of Craniofacial Surgery

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Closure of large oronasal fistula (ONF) in cleft patients is a challenge for patients and surgeons. The extent of functional impairment has psychologic, social, and developmental consequences. The ONF affects the feeding and speech of patients. Keys to repairing fistulas in this region are a 2-layer, tension-free closure, and an attentive suturing technique. In this article, the details and effectiveness of 2-flap palatoplasty are presented.

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Closure of fistula of the hard palate with two layers of mucoperiosteum

Cited by 3 publications

References 13 publications

Freeing and Stretching the Palatine Vessels From the Greater Palatine Foramen in Palatoplasty

Freeing and Stretching the Palatine Vessels From the Greater Palatine Foramen in Palatoplasty

Excision of Palatal Neoplasms

Reconstruction of a Huge Residual Palatal Cleft

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