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

doi:10.1016/j.jpra.2021.04.005

A procedure combining double opposing Z-plasty with buccal flap and skin graft for a cleft palate patient with short palate

JPRAS Open. 2021 Apr 24:29:55-59. doi: 10.1016/j.jpra.2021.04.005. eCollection 2021 Sep.

Authors

Shinji Kobayashi¹, Kazunori Yasumura¹, Yuki Mizuno², Mayumi Suzuki², Takashi Hirakawa³, Toshihiko Satake⁴, Yuichiro Yabuki⁴, Jiro Maegawa⁴

Affiliations

¹ Department of Plastic and Reconstructive Surgery, Kanagawa Children's Medical Center.
² Department of speech therapy, Kanagawa Children's Medical Center.
³ Hirakawa Orthodontic Clinic.
⁴ Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital.

Abstract

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.

Keywords: Buccal musculomucosal flap; Cleft palate; Double opposing Z-plasty; Furlow palatoplasty; Randall classification; Short soft palate.

Publication types

Case Reports