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Japanese

WITH OBLIQUE M DESIGN INCISION FOR PERFORMING THE ISLAND FLAP PALATOPLASTY Yasushi Murakami 1,2 pp.869-874
Published Date 1972/11/20
DOI https://doi.org/10.11477/mf.1492207850
  • Abstract
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 The authors report 16 cases of cleft palate in which corrections were made by employment of push-back palatoplasty with an island flap by means of oblique M mucoperiosteal incision. The operations were performed during the past 1 year. The essential points of this technic are as follows;

 1. The incision for the oral mucoperiosteal flap takes the shape of an olique M. The tip portion of the smaller flap is employed as an island flap resurfacing the raw area of the nasal floor.

 2. Under this regimen the length of the edge of one mucoperiosteal flap becomes similar to that of another after detaching an island flap.

 3. No special elevator was required to strip off the mucosal lining on the nasal floor, since only a small portion is needed to anchor the island flap.

 4. The oral mucoperiostium is easily fixed to the midpoint of the hard palate, because it is sutured to the longer edge of the M.

 5. The suture lines of the oral flaps appear to be slightly curved in the final stages. However, slackening or distortions of the oral flaps had never occurred in any case, because the tension of the mucoperiostium is even on both sides. This fact is highly important not only to facilitate an early and smooth wound healing but also, for maintainance of normal speech function.


Copyright © 1972, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 印刷版ISSN 0386-9679 医学書院

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