[Gnathopalatoplasty as a single operation in unilateral cheilognathopalatoschisis]

Following the cheiloplastic operation at the age of six months and the veloplastic operation in the 12th month of the child's age, the cleft remained in the alveolar crest and in the hard palate. Experience has shown that the closure of the a hard palate is already in the third year of the child's age suitable and does not effect its development-and even has many advantages. Thus we simultaneously close the cleft in the alveolar crest and in the hard palate. The closure of the nasal layer, all along its length, is not a problem. The mouth is shut by three flaps. The palatine flap is prepared by Trauner's modification. Simultaneously is prepared Burian's mucous flap in the vestibule. By the combination and suturing of the three flaps a tight closure of the gnathoschisis and palatoschisis is obtained. The closure of the cleft in the alveolar crest and in the hard palate are combined to make only one intervention. The remaining communications between the mouth cavity and nasal cavity were not perceived. The palate is long enough.