Eur J Plast Surg (2002) 25:288 DOI 10.1007/s00238-002-0402-8 EDIT OR’S COMMENT Ian T. Jackson Use of the cheek blade of the Dingman mouth gag to aid elevation of the buccal cheek flap in cleft palate surgery Published online: 12 September 2002 © Springer-Verlag 2002 The proposal of Jain et al.  looks to be a very good simpler. The reason why muscle must be included in this idea since it can be somewhat difficult to raise the cheek flap is that gives it increased bulk, and it is much less flap, particularly with an inexperienced assistant. What likely to contract. In fact, in our own series endoscopic the authors have failed to mention is that, when using the examination of the flap shows that its length is consis- buccal flap, which incidentally is the wrong term, one tently maintained if this technique is used. must also raise the underlying muscle. It therefore be- I congratulate the authors on a useful addition to what comes a buccal myomucosal flap. The difficult technical I consider to be one of the most useful techniques in pri- part of raising such a flap is that the very thin retaining mary and secondary cleft palate surgery. fascia over the buccal fat pad must be retained, and, of course, the authors’ method makes this technically much Reference I.T. Jackson (Editor-in-Chief) 1. Jain M, Kadam S, Jagannathan M, Dixit V (2002) Use of the Institute for Cranio-Facial and Reconstructive Surgery, cheek blade of the Dingman mouth gag to aid elevation of the Fisher Center, 16001 West Nine Mille Road, Southfield, buccal cheek flap in cleft palate surgery. Eur J Plastic Surg MI 48075, USA (http://dx.doi.org/10.1007/s00238-002-0401-9)
European Journal of Plastic Surgery – Springer Journals
Published: Oct 12, 2002
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