A composite technique was developed for repair of the complete unilateral cleft palate. Using a Veau type pushback on the cleft side simplified anterior closure, and the cleft hemipalate was lengthened. A von Langenbeck procedure on the noncleft side minimized anterior raw area and provided a stable point for fixation. Fourteen consecutive patients with unilateral complete cleft palate underwent hybrid palatoplasties. There were no significant intra- or postoperative complications. No differences in speech development have been noted. The procedure was no more difficult than either of the standard procedures and offers technical and theoretical benefits.
RossRB. Treatment variables affecting facial growth in complete unilateral cleft lip and palate. Part 3: Alveolus repair and bone grafting.Cleft Palate J1987; 24: 33–44.
2.
Fogh-AndersenP.. Inheritance of Harelip and Cleft Palate: Contribution to the Elucidation of the Etiology of the Congenital Clefts of the Face.Copenhagen: Nyt Nordisk Forlag, Arnold Busck, 1942: 266.
3.
WilsonM.E.A.C.. A ten-year survey of cleft lip and cleft palate in the south west region.Br J Plast Surg1972; 25: 224–8.
4.
FraserFC. The genetics of cleft lip and cleft palate.Am J Hum Genet1970; 22: 336–52.
5.
LindsayWK, WitzelMA. Cleft palate repair: Von Langenbeck technique. In: BardachJ., MorrisHL, ed. Multidisciplinary Management of Cleft Lip and Palate.Philadelphia: WB Saunders Company, 1990: 303–8.
6.
BraithwaiteF., MauriceDG. The importance of the levator palati muscle in cleft palate closure.Br J Plast Surg1968; 21: 60–2.
7.
HuebnerDV, MarshJL, BarzilaiJ.. The first 18 months of life: A management protocol for cleft care.Pittsburgh: The American Cleft Palate-Craniofacial Association Fiftieth Anniversary Meeting, April 21-24, 1993.
8.
DieffenbachJF. Beiträge zur Gaumennath.Litt Ann Ges Heilk1826; 6: 305–14.
9.
LangenbeckB.. Die Uranoplastik mittelst Ablösung des mucös-periostalen Gaumenüberzuges.Arch Klin Chir1861; 2: 205–87.
10.
VeauV., RuppeC.. Technique de l'urano-staphylorraphie.J de Chir (Paris)1922; 20: 113–44.
11.
KilnerTP. Cleft lip and palate repair technique.St Thomas's Hosp Lond Eng Rep1937; 2: 127–40.
12.
WardillWEM. The technique of operation for cleft palate.Br J Surg1937; 25: 117–30.
13.
MillardDR. The island flap in cleft palate surgery.Surg Gynecol Obstet1963; 116: 297–300.
14.
MillardDR. Cleft Craft: The Evolution of Its Surgery. III Alveolar and Palatal Deformities.Boston: Little, Brown and Co, 1980: 1211.
15.
MillardDR, FlynnW., RaoMP. Combining the von Langenbeck and the Wardill-Kilner operations in certain clefts of the palate.Cleft Palate Craniofac J1992; 29: 85–6.
16.
KremenakCR, HuffmanWC, OlinWH. Growth of maxillae in dogs after palatal surgery: I.Cleft Palate J1967; 4: 6–17.
17.
BardachJ., SalyerKE. Surgical Techniques in Cleft Lip and Palate.Chicago: Year Book Medical Publishers, Inc, 1987: 272.
WitzelMA, ClarkeJA, LindsayWK, ThomsonHG. Comparison of results of pushback or von Langenbeck repair of isolated cleft of the hard and soft palate.Plast Reconstr Surg1979; 64: 347–52.
20.
HoltmannB., WrayRC, WeeksPM. A comparison of three techniques of palatorrhaphy: Early speech results.Ann Plast Surg1984; 12: 514–8.
21.
KriensO.. The anatomy of intravelar veloplasty. Broadbeach, Australia: 7th International Congress on Cleft Palate and Related Craniofacial Anomalies, October 31-November 5, 1993.
