{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:57:18Z","timestamp":1787014638418,"version":"build-2736575974"},"reference-count":10,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2011,12,15]],"date-time":"2011-12-15T00:00:00Z","timestamp":1323907200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2012,6]]},"abstract":"Abstract<\/jats:title>\n \n Background:\u2002<\/jats:bold>\n In the conventional technique of transpalatal approach, the palatal mucoperiosteum is incised and widely elevated and hard palate bone is removed in piece meal and discarded. These technique lead to complications, namely, temporary or permanent palatal fistula, palatal scarring leading to palatal disfiguration and velopharyngeal incompetence. In this article we describe a new technique of doing palatotomy to avoid these complications.\n <\/jats:p>\n \n Methods:\u2002<\/jats:bold>\n A retrospective review of post\u2010operative complications of 20 patients that underwent transpalatal approach by the conventional technique was performed. To avoid the complications encountered in these cases, a new approach was designed when the palatal mucoperiosteum on the pathological side was elevated partially, greater palatine artery was coagulated and palatal osteotomy was performed from the oral side. On the non\u2010pathological side, hard palate was sectioned from the nasal side, thus preserving the ipsilateral palatal mucoperiosteum. The entire mucoperiosteum with attached hard palate was reflected orally as a single block which was pedicled on the greater palatine artery and palatal mucoperiosteum of the non\u2010pathological side, thereby creating palatal osteo\u2010mucoperiosteal flap. The flap was placed back at the end of the procedure. Eight patients were operated by this new technique.\n <\/jats:p>\n \n Results:\u2002<\/jats:bold>\n All 20 patients operated by the conventional transpalatal approach developed post\u2010operative complications. In the eight patients operated by the new technique, no post\u2010operative complications were encountered after 2\u2003years' follow\u2010up.\n <\/jats:p>\n \n Conclusions:\u2002<\/jats:bold>\n We found palatal osteo\u2010mucoperiosteal flap an easy and safe way of preserving the hard palate mucoperiosteum and bone with its vasculature resulting in quicker healing and minimal functional impairment.\n <\/jats:p>","DOI":"10.1111\/j.1445-2197.2011.05954.x","type":"journal-article","created":{"date-parts":[[2011,12,15]],"date-time":"2011-12-15T06:44:39Z","timestamp":1323931479000},"page":"439-442","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Transpalatal approach with pedicled palatal osteo\u2010muco\u2010periosteal flap"],"prefix":"10.1111","volume":"82","author":[{"given":"Siba P.","family":"Dubey","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles P.","family":"Molumi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,12,15]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1983.tb01461.x"},{"key":"e_1_2_5_3_2","first-page":"125","article-title":"Transpalatal approach to the skull base","volume":"65","author":"Kennedy DW","year":"1986","journal-title":"Ear Nose Throat J."},{"key":"e_1_2_5_4_2","first-page":"85","volume-title":"Surgery of Skull Base Tumors","author":"Krespi YP","year":"1991"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(05)70369-8"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-994288"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1997.87.5.0677"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1989.01860270037011"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1997.01900030087011"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-008-0599-3"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348940411301202"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1445-2197.2011.05954.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1445-2197.2011.05954.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T14:15:39Z","timestamp":1697465739000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1445-2197.2011.05954.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,12,15]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2012,6]]}},"alternative-id":["10.1111\/j.1445-2197.2011.05954.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1445-2197.2011.05954.x","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,12,15]]},"assertion":[{"value":"2011-12-15","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}