Treatment of congenital short palate using bilateral buccal musculomucosal flaps

Shinji Kobayashi; Yukie Ohashi; Ryouko Fukushima; Takashi Hirakawa; Toshihiko Fukawa; Toshihiko Satake; Jiro Maegawa

doi:10.1080/23320885.2020.1756821

Treatment of congenital short palate using bilateral buccal musculomucosal flaps

Case Reports Plast Surg Hand Surg. 2020 May 6;7(1):57-62. doi: 10.1080/23320885.2020.1756821. eCollection 2020.

Authors

Shinji Kobayashi¹, Yukie Ohashi², Ryouko Fukushima², Takashi Hirakawa³, Toshihiko Fukawa⁴, Toshihiko Satake⁵, Jiro Maegawa⁵

Affiliations

¹ Department of Plastic and Reconstructive Surgery, Kanagawa Children's Medical Center, Yokohama, Japan.
² Department of Speech treatment, Kanagawa Children's Medical Center, Yokohama, Japan.
³ Hirakawa Orthodontic Clinic, Yokohama, Japan.
⁴ Fukawa Orthodontic Office, Yokohama, Japan.
⁵ Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital, Yokohama, Japan.

Abstract

A case of congenital short palate was treated by bilateral buccal musculomucosal flaps. The levator veli palatini muscle formed a continuous sling, but the anterior portion was attached to the posterior border of the hard palate. The speech outcome improved from severe to normal.

Keywords: Congenital short palate; Levator veli palatini muscle; Randall classification; buccal musculomucosal flap; velopharyngeal insufficiency.

Publication types

Case Reports