Temporalis muscle transfer is a versatile technique frequently used for reconstructive procedures in the maxillofacial region. However the thickness of the pedicle may interfere with masticatory function when used anteriorly in the oral cavity. To repair fulllength mid-palatal defects in fully dentate patients the flap can be passed through the maxillary sinus and combined with local repair of the soft palate, thus avoiding any occlusal trauma from the posterior teeth. The operation is a single stage procedure with low morbidity and few complications, and is a useful technique for repairing the large untreated clefts frequently encountered in developing countries. The procedure is used by members of the Australian and New Zealand Association of Oral and Maxillofacial Surgeons Bangladesh Project who have operated in Dhaka teaching hospitals on a regular basis since 1991.
Abstract— Retrognathia or retrusion of the maxilla and mid‐face is present in about one‐third of treated cleft palate patients.Surgical repositioning of either the dental segments, or the entire mid‐face into a forward position, can greatly enhance appearance and at the same time provide for a more functional occlusion.Some surgical aspects of this work are presented together with an evaluation of soft tissue change.
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