Objective: To explore the reconstruction method of large through-and-through palate defects.
Methods: From 2003 to 2006, 7 cases of large through-and-through palate defects were reconstructed with vascularized folded free forearm flap. 8 flaps were used, including 7 free forearm flaps and 1 pectoralis major myocutaneous flap.
Results: All the tissue flaps survived well except one flap necrosis because of arterial thrombosis. The appearance of reconstructed palate was acceptable, and the functions of swallowing and speech were normal or almost normal.
Conclusions: It is feasible and effective to repair large through-and-through palate defects with folded free forearm flap.