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The tongue and forehead flap in the closure of residual oronasal fistulae.

Some defects related to untreated palatal or residual clefts represent major deformities. A review of 177 cases, untreated or operated on according to Schwekkendiek's (1958) chronology, was carried out. The advantage of simultaneous operative techniques is discussed, specifically pharyngoplasties, vestibular flap rotation, and osteoplastic closure. When all other surgical possibilities have failed, some flaps have been used to restore mucosal continuity. A multidisciplinary evaluation of each individual case is emphasized.

Cleft Palate↗

Update in endoscopic forehead rejuvenation.

Endoscopic brow lifting has largely replaced coronal brow lifting (Fig. 12). The results are at least equivalent, if not better, with a greatly decreased incidence of scarring, alopecia, and numbness of the scalp. The technique has a steep learning curve. The equipment needed to perform the surgery is expensive,but the authors believe that a well-trained surgeon using the proper instruments can perform this surgery with minimal trauma and few complications. An update with the advanced techniques described herein is recommended to further decrease the rate of complications and undesirable sequelae.

Dissection↗