Primary Palatoplasty Using Bipedicle Flaps (Modified Von Langenbeck Technique)

Kevin S. Smith, Carlos M. Ugalde

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations


The key to any palatoplasty is ample dissection and tension-free closure. The levator veli palatini muscle must be released from the hard palate and reapproximated and anastomosed with its opposite pedicle. Traditional use of the bipedicle flap technique involves a standard intravelar veloplasty. The combination of double-reversing Z-plasties with a bipedicle flap has the potential advantage of better speech results. This technique has not been described in reviewed literature; however, as with all cleft techniques, most modifications are combinations of previously described techniques.

Original languageEnglish (US)
Pages (from-to)147-156
Number of pages10
JournalAtlas of the Oral and Maxillofacial Surgery Clinics of North America
Issue number2
StatePublished - Sep 2009
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery


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