{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T15:50:27Z","timestamp":1789055427182,"version":"build-2803163510"},"reference-count":34,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2012,8,1]],"date-time":"2012-08-01T00:00:00Z","timestamp":1343779200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Canadian Journal of Plastic Surgery"],"published-print":{"date-parts":[[2012,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>A variety of surgical methods have been described to repair wide cleft palate; they are all challenging to perform and yield consistently good results. The islandized mucoperiosteal flap, the technique described in the present article, is very versatile because it can close palatal defects of any size without undue tension. Moreover, it provides adequate length and mobility of the soft palate with improved speech and feeding functions without fistula formation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between 2005 and 2011, 36 patients with wide cleft palate were operated on using islandized mucoperiosteal flaps. This technique involves dissection of the neurovascular bundle from the mucoperiosteal flaps for approximately 1 cm and dissecting the muscle from the posterior edge of the hard palate with intravelar veloplasty. The flaps subsequently become freely mobile in all directions. It can move medially to close palatal defects of any size without tension. In addition, posterior or backward mobilization lengthens the soft palate and renders it freely mobile.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All repairs were successful, with no complications and no patients requiring secondary procedures. All patients regained normal feeding function three weeks postoperatively. All patients showed normal nasal resonance of speech except for two (three and five years of age) who experienced abnormal resonance in the form of open nasality that required regular speech therapy for six months. There was significant improvement and no secondary procedures were required for either.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A technical modification for closure of wide palatal clefts is introduced. The islandized mucoperiosteal flap, which is a very versatile technique, can close cleft palates of any width without tension, lengthens the soft palate and renders it freely mobile for proper speech functions. Using this technique, good speech and feeding function with no complications were achieved.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/229255031202000306","type":"journal-article","created":{"date-parts":[[2017,2,23]],"date-time":"2017-02-23T05:25:52Z","timestamp":1487827552000},"page":"173-177","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Islandized mucoperiosteal flaps: A versatile technique for closure of a wide palatal cleft"],"prefix":"10.1177","volume":"20","author":[{"given":"Ahmed Mabrouk","family":"Aboul-Wafa","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery, Ain Shams University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2012,8,1]]},"reference":[{"key":"bibr1-229255031202000306","first-page":"239","volume-title":"Georgiade Plastic and Reconstructive Surgery","author":"Bauer BS","year":"1997","edition":"3"},{"key":"bibr2-229255031202000306","first-page":"303","volume-title":"Multidisciplinary Management of Cleft Lip and Palate.","author":"Lindsay WK","year":"1990"},{"key":"bibr3-229255031202000306","doi-asserted-by":"publisher","DOI":"10.4103\/0970-0358.57197"},{"key":"bibr4-229255031202000306","volume-title":"Atlas of Craniofacial and Cleft Surgery","volume":"2","author":"Bardach J","year":"1999"},{"key":"bibr5-229255031202000306","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1982.00790510019004"},{"key":"bibr6-229255031202000306","first-page":"381","volume":"6","author":"Stark RB","year":"1969","journal-title":"Cleft Palate J"},{"key":"bibr7-229255031202000306","first-page":"41","volume":"23","author":"Holmstrom H","year":"1986","journal-title":"Cleft Palate J"},{"key":"bibr8-229255031202000306","doi-asserted-by":"publisher","DOI":"10.1001\/archfaci.8.2.123"},{"key":"bibr9-229255031202000306","first-page":"192","volume":"29","author":"Namin AH","year":"1992","journal-title":"Cleft Palate Craniofac J"},{"key":"bibr10-229255031202000306","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199701000-00013"},{"key":"bibr11-229255031202000306","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_2002_039_0560_mttfro_2.0.co_2"},{"key":"bibr12-229255031202000306","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199710000-00009"},{"key":"bibr13-229255031202000306","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2003.06.001"},{"key":"bibr14-229255031202000306","doi-asserted-by":"publisher","DOI":"10.1097\/00001665-200111000-00011"},{"key":"bibr15-229255031202000306","first-page":"180","volume-title":"Surgical Techniques in Cleft Lip and Palate.","author":"Bardach J","year":"1987"},{"key":"bibr16-229255031202000306","doi-asserted-by":"publisher","DOI":"10.1016\/S1071-0949(06)80034-X"},{"key":"bibr17-229255031202000306","first-page":"119","volume":"21","author":"Furnas OW","year":"1987","journal-title":"Scand J Plast Reconstr Surg Hand Surg"},{"key":"bibr18-229255031202000306","first-page":"1745","volume":"54","author":"Limberg A","year":"1927","journal-title":"Zentralbl Chir"},{"key":"bibr19-229255031202000306","first-page":"341","volume-title":"Multidisciplinary Management of Cleft Lip and Palate.","author":"Dorf DA","year":"1990"},{"key":"bibr20-229255031202000306","first-page":"189","volume-title":"Cleft Lip and Palate.","author":"Dado DV","year":"1990"},{"key":"bibr21-229255031202000306","first-page":"815","volume":"70","author":"Brown JB","year":"1940","journal-title":"Surg Gynecol Obstet"},{"key":"bibr22-229255031202000306","unstructured":"McDowellF BrownJB FryerMP. 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