Premaxillary palatal flap (PPF) as an aid to create nasal floor in anterior palatal fistula closure of cleft patients. Technical note Amin Rahpeyma,

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Premaxillary palatal flap (PPF) as an aid to create nasal floor in anterior palatal fistula closure of cleft patients. Technical note Amin Rahpeyma, Saeedeh khajehahmadi International Journal of Surgery Volume 30, Pages 35-37 (June 2016) DOI: 10.1016/j.ijsu.2016.04.003 Copyright © 2016 IJS Publishing Group Ltd Terms and Conditions

Fig. 1 Premaxillary palatal mucosa is reflected and sutured to short turn down flaps from palate. International Journal of Surgery 2016 30, 35-37DOI: (10.1016/j.ijsu.2016.04.003) Copyright © 2016 IJS Publishing Group Ltd Terms and Conditions

Fig. 2 a, Anterior palatal fistula and remaining tongue flap. b, Premaxillary palatal mucosa and turn down flaps are highlighted c, Buccal finger flap is used for oral side coverage. International Journal of Surgery 2016 30, 35-37DOI: (10.1016/j.ijsu.2016.04.003) Copyright © 2016 IJS Publishing Group Ltd Terms and Conditions

Fig. 3 a, Edentulous atrophic premaxilla. b,Premaxillary palatal flap participate in nasal floor reconstruction. c, Corticocancellous bone graft in between lateral segments. d, FAMM flap is used for bone graft coverage. International Journal of Surgery 2016 30, 35-37DOI: (10.1016/j.ijsu.2016.04.003) Copyright © 2016 IJS Publishing Group Ltd Terms and Conditions

Fig. 4 a, Bilateral alveolar cleft and large palatal fistula behind premaxilla. b, Nasal floor repair by premaxillary palatal flap. c, Anteriorly based dorsal tongue flap is used for oral side coverage. International Journal of Surgery 2016 30, 35-37DOI: (10.1016/j.ijsu.2016.04.003) Copyright © 2016 IJS Publishing Group Ltd Terms and Conditions

Fig. 5 a, Wide right alveolar cleft in continuous with wide palatal fistula. b, Nasal floor repair. c, Posteriorly based lateral tongue flap is used for fistula coverage. International Journal of Surgery 2016 30, 35-37DOI: (10.1016/j.ijsu.2016.04.003) Copyright © 2016 IJS Publishing Group Ltd Terms and Conditions