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Hard Palate Cleft

Releasing incision (Von Langenbeck type) Indication/requirements  Only for hard and soft palate cleft (hPsP) cases (NOT in presence of a alveolar cleft, as a CLAP)  In cases where a vomer-flap procedure is not feasible  In cases where a double layer closure is possible

Consequences  Wider palatal dissection leads to more growth disturbance  Increased blood loss  A tighter closure in the hP

VON LANGENBECK BM. Operationen der angeborenen totalen Spaltung des harten Gaumens nach einer neuen Methode. Dtsch Kliniken 1861: 8: 231. DANNEMANN C, BÜTOW K-W. Introduction of two mattress sutures: a displaced and a crossover type, for hard palate closure. Br J Oral & Maxillofac Surg, 2009: 47; 564-565.

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Cleft Ultimate Treatment  

Book: Cleft Ultimate Treatment -- Oro-facial and Cranio-maxillo-facial Deformities (Second Edition) Authors: Dr. Kurt Butow and Dr. Roger Z...

Cleft Ultimate Treatment  

Book: Cleft Ultimate Treatment -- Oro-facial and Cranio-maxillo-facial Deformities (Second Edition) Authors: Dr. Kurt Butow and Dr. Roger Z...

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