Fig. 2. Intra-operative photographic views showing 7 mm-sized mid-palatal fistula (A) and mild-degree velopharyngeal insufficiency (B). Nasal layer was reconstructed by a peri-fistula turn-down mucoperiosteal flap (C). Border of the buccinator myomucosal flap was marked (D). After elevation of a buccinator flap through the buccopharyngeal fascia, buccal fat pad was exposed (E). Posteriorly-based buccinator myomucosal flap was transposed into the defect of the oral layer (F).
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