Hard Palate Cleft
Cranially-based Vomer-flap (Lannelongue-Pichler vomer flap) Very limited palatal dissection (= minimal growth disturbance) Minimum blood loss Often no tight closure between hP and sP, especially in wide cleft, due to a triangular connection (with soft palate closure proceeding)
BÜTOW K-W. “Dysgnathie nach Gaumenspaltenverschluss mit Vomerlappen” [German]. Doctorate publication, University of Erlangen‑Nuremburg [Germany] 1983. BÜTOW K-W. A relationship measurement method for the analysis of complete lip and palate cases. Cleft Palate J 1984: 21; 317‑322.
Book: Cleft Ultimate Treatment -- Oro-facial and Cranio-maxillo-facial Deformities (Second Edition) Authors: Dr. Kurt Butow and Dr. Roger Z...