Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the palate repair using Palatal pushback technique. Incision was made in the mid-vomerine region and a palatal flap was raised from right & left side. The Levator palatine muscles were detached from their abnormally attached positions and reattached into normal position like a hammock. Extreme care was taken to avoid any damage to the greater palatine vessels and developing tooth buds.
A two layer closure was done. The nasal floor was closed with the vomerine flap making a reverse knot. Oral layer was sutured by vertical mattress sutures. The suction test was positive which guarantees good speech. Subsequent cleft management will be done in future.