Caudally-based single-layer septum-vomer flap for cleft palate closure.

Area of Science:

• Plastic Surgery
• Craniofacial Surgery
• Pediatric Surgery

Background:

• Cleft palate repair presents surgical challenges, particularly in achieving complete closure.
• Vomer flap techniques are established for hard palate reconstruction.

Purpose of the Study:

• To describe and introduce a novel single-layer caudally-based septum-vomer flap technique.
• To evaluate the advantages and disadvantages of this technique compared to others.
• To present a complementary lip flap for anterior nasal floor closure.

Main Methods:

• Description of the single-layer caudally-based septum-vomer flap surgical technique.
• Comparative analysis of the technique with existing vomer-flap closures.
• Introduction of a lip flap for anterior nasal floor reconstruction.

Main Results:

• The technique facilitates primary closure in cleft palate surgery.
• It offers specific benefits for unilateral cleft lip and palate cases.
• The combined approach ensures uninterrupted closure of the premaxilla and palate.

Conclusions:

• The single-layer caudally-based septum-vomer flap is a viable technique for cleft palate repair.
• The addition of a lip flap enhances anterior nasal floor closure.
• This surgical approach provides a comprehensive solution for cleft lip and palate defects.