A new method for the closure of a cleft palate.

Contrary to the advocated linear approximation of the muscles in closure of the soft palate we have developed a different method which finds its anatomical confirmation in a publication by Kriens. Since we normally have intermingling vertical and horizontal muscle fibres within the soft palate it seemed logical to copy nature by the surgical technique. We believe that we are better able to reestablish normal anatomical findings by two opposing Z-plastics compared with the methods previously described. With this procedure we are also able to shift the centre of muscle function further dorsally, thus achieving a lengthening of the palate as well. Since the procedure is quite atraumatic on account of the oblique cuts, we seldom see tissue dehiscenses and have been able to observe a well functioning palate.