How reliable is the vomer flap in early hard palate repair?

Hard palate closure with a vomer flap at the time of lip repair has been widely adopted. A recent study by Deshpande et al showed a high rate of failure of the vomer flap and led them to abandon the technique. We carried out a retrospective study of vomer flap healing in a consecutive series of cases performed by the senior author (DO). The case records of 71 patients who underwent repair of UCLP with a vomer flap at the time of lip repair were studied. Vomer flap healing had been assessed and documented by the senior author at the time of definitive palate closure and this was recorded.

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