fa تخصصي Special مقالات اصيل Original Article <span style="font-family:Times New Roman;"><span style="font-size:11pt"><span style="line-height:200%"><span calibri=""><b><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" times="">Background</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" times="">: Repairing of a wide cleft palate faces with several problems, e.g. medialization of palatal flaps, lack of tissue for repair, and fistula formation. We aimed at quantitative and qualitative evaluation of medial osteotomy of the greater palatine foramen for patients with wide cleft palate and its postoperative outcomes. </span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:200%"><span calibri=""><b><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" times="">Methods</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" times="">: Eight patients 4 males, 4 females with wide cleft palate and the median age of 1.5 year were operated using medial osteotomy of the greater palatine foramen</span></span></span> <span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" times="">from 2018-2020. In this technique, the osteotomy was carried in the outlet of vascular pedicle medially and posteriorly. This led to more degrees of freedom for the vascular pedicle and a palatoplasty without tension through mucoperiosteal flap movement toward the medial direction.&nbsp; </span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:200%"><span calibri=""><b><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" times="">Results</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" times="">: After osteotomy and repairing for 8 patients (16 flaps), the mean (SD) length of mucoperiosteal flap pedicle was significantly increased from 2.78 mm to 6.09 mm (<i>P</i><0.001). All patients were successfully repaired with no major complications, and none of them required any secondary repair. Three weeks postoperatively, all patients showed normal feeding, normal nasal resonance of speech with normal palatal mobility.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:200%"><span calibri=""><b><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" times="">Conclusion</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" times="">: Osteotomy of the greater palatine foramen for the closure of wide palatal clefts showed a good efficiency, quantitatively and qualitatively. The mean length of mucoperiosteal pedicle increased by 3.22 mm (6.44 mm for bilateral) after repairing, which helps to more freely medial movement of the palatal flap and lesser tension across its closure. All patients were successfully improved without any major complications.</span></span></span></span></span></span><br> &nbsp;</span> Cleft Palate, Medial Osteotomy, Mucoperiosteal flap, Palate, Palatoplasty 129 134 http://wjps.ir/browse.php?a_code=A-10-200-8&slc_lang=fa&sid=1 Hamidreza Fathi 100319475328460012931 100319475328460012931 No 2. Department of Plastic & Reconstructive Surgery, Amiraalam Hospital, Tehran, Iran Seyed Saheb Hoseininejad 100319475328460012932 100319475328460012932 No 3. Department of Plastic & Reconstructive Surgery, School of Medicine, Ahvaz University of Medical Sciences, Ahvaz, Iran Hojjat Molaei 100319475328460012933 100319475328460012933 Yes 1. Department of Plastic & Reconstructive Surgery, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran