
A. A single mucoperiosteal flap is elevated for each palatal shelf.
B. The neurovascular bundle coming from the greater palatine foramen is identified.
C. Medial mobility of the soft palate is enhanced by dissecting the posterior extension of the relaxing incision in the plane of the pterygoid and superior constrictor muscles.
D. In patients with wider clefts it is necessary to infracture the hamulus process.
E. The incidence of fistulization at the hard-soft palate junction is high.
REFERENCES & ANSWER
Seibert R. W.: Unilateral Cleft Lip and Palate in Current Therapy in Otolaryngology-Head and Neck Surgery-4 (Gates, editor), B.C. Decker Inc. 1990, pp. 320-322
381) E The incidence of fistulization at the hard-soft palate junction is high.
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