Bipedicled Palatoplasty for Closure of Wide Veau Class II Anterior Palatal Defect: A Case Series.

Background: Wide palatal defects remain a challenge to the plastic surgeon. The authors present a new method for closure of a wide Veau class II cleft palate in which anterior palatal closure was achieved by use of a bipedicled mucoperiosteal anterior palatal flap.

Methods: Two patients with wide Veau class II cleft palatal defects underwent palatoplasty with difficulty in closing the anterior palate. A novel technique was employed for tension-free closure.

Results: A tension-free closure in the midline was achieved with a bipedicled mucoperiosteal anterior palatal flap.

Conclusions: This novel technique can assist with closure of the anterior-most portion of hard palatal defects.