Hard palate reconstruction Surgery

Hard Palate Resection: Overview, Preparation, Techniqu

Palate Resection ‣ THANC Guid

Objective To evaluate the use of microvascular free-tissue transfers in the reconstruction of hard palate defects.. Design Retrospective review of a case series.. Setting Two tertiary referral centers.. Patients Thirty patients had hard palatal defects that resulted from ablative oncologic surgery: 10 total or subtotal palatal defects, 14 hemipalatal defects, and 6 anterior arch defects Due to the pain and difficulty swallowing, you will likely only be able to tolerate a liquid/soft diet (Ensure, Smoothies) for the first few days after surgery. Make sure you have a good intake of fluids and avoid dehydration. You should be able to tolerate normal diet by 14 days following surgery

Hard palate resection, microvascular reconstruction, and

classification for palate defects has limited prospective comparison of reconstructive methods. In most cases, these defects require bone containing microvascular free flaps for reconstruction if preoperative function is to be approached. Promising results have been documented for fibular, scapular, and iliac crest/internal oblique free flaps in the reconstruction of total or near-total. Maxillectomy is a surgery to remove bones that make up the hard palate (the bony front part of the roof of the mouth) or the nasal sinuses. It is most commonly recommended for mouth cancers that begin in the hard palate or the upper gums Surgeons in the Section of Facial Aesthetic and Reconstructive Surgery in the Head & Neck Institute have combined the above techniques and strategies to address defects of the hard palate reliably and with minimal morbidity

Considerations for Free-Flap Reconstruction of the Hard Palat

During a four-hour surgery, Dr. Fritz used transplanted tissue from Denise's thigh to reconstruct the portion of her palate that had been removed many years before, reconnecting blood vessels from her thigh tissue to blood vessels in her cheek. This blood supply is critical for successful healing For example, the hard palate, or roof of the mouth, can be replaced with bone from other parts of the body, such as from the fibula or the scapula, which is also known as the shoulder blade. Doctors ensure that the procedure does not create a disability in the area from which the bone is taken The hard palate mucoperiosteal graft seems to be rigid enough to support the reconstructed eyelid without the use of cartilage or other supporting materials. The subcutaneously pedicled V-Y advancement flap is useful for reconstruction of the anterior lamella in partial eyelid defects The primary goal of reconstruction and rehabilitation of the defectshard defectspalate is separatedefects from trauma and oncologicmaxillectomy skin graft Traditionally,of toobturation after the palatefor For exposed these lining candefects the sinonasal leadhave been to loss andoral cavity. Also, anterio Maxillary defects commonly present following surgical resection of oncologic processes. The use of rotational and free flaps has largely replaced the use of prosthetic options for hard palate and maxillary reconstruction, but prostheses remain a useful tool

Surgery of the face by prof

After performing thousands of procedures to treat snorers and sleep apnea patients, Dr. Pasha believes that palatal reconstruction is a much-improved method than traditional approaches. He describes the procedure as a face lift for the back of the throat. Remember the soft palate is the back of the roof of the mouth, which is soft Joseph E. Losee, Darren Smith, in Head and Neck Reconstruction, 2009 Hard palate closure. When closing the hard palate mucoperiosteal flaps, it is important to evert the mucosal edges during the closure to ensure raw tissue adaptation. In addition, an added benefit is obtained when one hard palate flap can be rotated several millimeters in such a way as to prevent the nasal and oral suture. Saliva secretion by this flap is another benefit. This flap has indications in cleft palate surgery during the primary palatoplasty in wide palatal clefts for lengthening the soft palate and decreasing the chance of velopharyngeal insufficiency. It has also been reported for closure of the fistula in the junction of the soft and hard palate. 22.

Practically it is hard to use a hard palate graft to provide more than 4-5 mm of lift to the eyelid margin. To lengthen the lower eyelid, failed methods of the past relied on atonic reconstruction such as large skin grafts and denervated muscle flaps like a Mustarde flap Place a device or brace into your child's mouth to keep it open during the surgery. Make incisions (cuts) on both sides of the palate along the cleft (Picture 2). Loosen the layer of tissue attached to the bone of the hard palate. This will allow the tissue to be stretched (Picture 3) Reconstruction of the palate or retromolar trigone after ablative surgery is a challenging problem. Although superficial defects may be closed primarily, allowed to heal by secondary intention, or resurfaced with a split-thickness skin graft, defects that involve the periosteum or those that enter the sinonasal cavity usually cannot be. Joseph E Losee, Jonathan Y Lee, in Global Reconstructive Surgery, 2019. Hard Palate. The hard palate markings and dissection are performed continuously with the soft palate. However, the type and severity of the cleft will determine the design of the hard palate closure. Designs include unipedicled mucoperiosteal flaps based off the greater palatine vessels (Fig. 3.4.12) or bipedicled. Hard Palate at Sikkim Manipal University of Medical Scien ces, in Gangtok, Sikkim state, over a period of 4 years. For HPC, primary reconstruction surgery has been developed al lowing an improvement of the quality of life after surgery and avoiding the predispos ition to hyper nasal speech, leakage . European Journal of Molecular & Clinical.

For tumors of the sinuses, maxilla and/or hard palate, patients will likely undergo a maxillectomy, which involves removing the maxilla, or the upper jawbone. Following this surgery, rehabilitation will be required. This can be accomplished by reconstruction, using either hard or soft tissue replacement by borrowing from another part of the body All Head and Neck Surgery Service, Plastic and Reconstruction Surgery Service, and Dental Service charts and progress notes entered into the Institutional Health Care Information System of 57 patients who underwent hard palate resection and microvascular reconstruction at Memorial Sloan-Kettering Cancer Center (MSKCC) between January 1, 1988.

Palate Surgery - What to Expect Stanford Health Car

  1. A cleft palate occurs when there is an opening in the roof of the mouth. The back of the palate is called the soft palate and the front is known as the hard palate. A cleft palate can range from just an opening at the back of the soft palate to a nearly complete separation of the roof of the mouth (soft and hard palate)
  2. es the speech and communication outcome and potentially has the greatest effect on maxillary growth and dental arch relationship and probably also o
  3. In broad terms, after ablative surgery of the hard and/or soft palate, without its reconstruction, the patient will have unintelligible hypernasal speech, difficulty chewing and swallowing, nasal.
  4. Lower Eyelid Reconstruction With Palatal Grafts Farooq Shahzad Babak J. Mehrara Aaron Fay DEFINITION With proper case selection, lower eyelid reconstruction can be enhanced using hard palate grafts. Both horizontal deficiency and vertical retraction can be corrected using this technique. Palatal grafts are not suitable for upper lid reconstruction because the keratinized surface can abrad
  5. The goals of the surgery are to close the cleft, generally in two layers for the hard palate and two or three layers for the soft palate separating the nasal cavity from the oral cavity. Some surgeons will attempt techniques to lengthen the soft palate and/or realign the muscles
Cat Soft Palate Cleft Repair

Reconstruction of the palate is among the most difficult challenges faced by head and neck reconstructive surgeons. The primary aims of this review are to catalog the evolution of the classification systems for palatal defects, discuss decision making surrounding the various options for hard palate reconstruction, and address the special. Finlay PM. Prosthodontics. In: Excision and Reconstruction in Head and Neck Surgery, Soutar DS, Tiwari R (Eds), Churchill Livingstone, New York 1994. p.103. Curtis TA, Beumer J III. Restoration of acquired hard palate defects: Etiology, disability and rehabilitation Hard palate grafts are useful for reconstruction after tumor surgery in addition to other techniques in order to achieve good functional and esthetic results. For patients suffering from autoimmune disease (e.g. ocular pemphigus and Stevens-Johnson syndrome) the use of hard palate grafts was found to be equally useful, although results can. Place a device or brace into your child's mouth to keep it open during the surgery. Make incisions (cuts) on both sides of the palate along the cleft (Picture 2). Loosen the layer of tissue attached to the bone of the hard palate. This will allow the tissue to be stretched (Picture 3). Make a cut along the gums Mucosal Melanoma of the Hard Palate: Surgical Treatment and Reconstruction Stefano Bondi 1,* , Alessandro Vinciguerra 1,2, Alessandra Lissoni 2,3, In addition to surgery, two options are generally considered: radiotherapy, which is hard palate with thickening of the mucosa by 3 4 mm (Figure 3). No bone infiltration wa

Hard and soft palate reconstruction : Current Opinion in

Methods. All Head and Neck Surgery Service, Plastic and Reconstruction Surgery Service, and Dental Service charts and progress notes entered into the Institutional Health Care Information System of 57 patients who underwent hard palate resection and microvascular reconstruction at Memorial Sloan‐Kettering Cancer Center (MSKCC) between January 1, 1988, and December 31, 2001 were reviewed. Wide local excision of mucoepidermoid of the palate, Buccal fat flap reconstruction Obturator placement, right nasal packing, nasal endoscopy Patient is a 16-year-old white male with a history of slowly enlarging mass on his hard palate on the right side NYU Langone surgeons often perform reconstructive surgery to restore the soft tissue, bone, and teeth that may need to be removed during surgery for oral cancer. Reconstruction is done at the same time the cancer is removed. Reconstruction may involve transferring tissue or bone from another area of the body to the oral cavity METHODS: All Head and Neck Surgery Service, Plastic and Reconstruction Surgery Service, and Dental Service charts and progress notes entered into the Institutional Health Care Information System of 57 patients who underwent hard palate resection and microvascular reconstruction at Memorial Sloan-Kettering Cancer Center (MSKCC) between January 1.

(PDF) Palliative Surgery in Two Dogs with Non-Curative

Mouth Cancer Surgery Memorial Sloan Kettering Cancer Cente

  1. If you've been diagnosed with oral, or mouth cancer, the most common treatment is surgery to remove the cancerous tissue, especially in early stage oral cancers. Depending on the extent of your cancer and its removal, your surgical team will perform reconstructive oral cancer surgery to address changes in the function or appearance of your mouth, jaw, or throat as the result of the operation
  2. Palate reconstruction remains one of the most challenging areas for the head and neck reconstructive surgeon. Although small defects in the palate are managed without significant difficulty, larger defects, particularly total maxillectomy defects, require special attention. The lack of a uniform classification for palate defects has limited prospective comparison of reconstructive methods
  3. Palatal Advancement Pharyngoplasty. This surgery for sleep apnea treats the palate by removing some of the bone towards the back of the roof of the mouth (hard palate). After removal of the bone, the soft palate is then pulled forward and sewn into place. This opens the space for breathing behind the soft palate in a slightly different way
  4. Orbitomaxillary Reconstruction (Cheek, Palate and Eye Socket) Arguably, one of the most critical and difficult areas of the face to reconstruct is the orbitomaxillary region. This includes the roof of the mouth (hard palate), the cheekbone (maxilla), and the bones surrounding and supporting the eye (orbit)
  5. The pedicled osteomyocutaneous mandible flap has shown utility in the reconstruction of composite mandibular defects. 1 Its use as a method of reconstructing the hard palate represents a novel application of this flap, which is described herein using an illustrative case example
  6. Request PDF | Hard and soft palate reconstruction | Palate reconstruction remains one of the most challenging areas for the head and neck reconstructive surgeon. Although small defects in the.
  7. Reconstruction of the hard palate using the radial forearm free flap: Indications and outcomes. Head & Neck, 2004. Eric Genden. Derrick Wallace. Eric Genden. Derrick Wallace. PDF. Download Free PDF

Setting a New Standard for Complex Palate Repair - Consult Q

Hard palate cancer is a type of head and neck cancer that begins when cells that make up the bony part of the roof of the mouth grow out of control and form lesions or tumors.. The hard palate creates a barrier between the mouth and the nasal cavity. Cancers that develop there tend to spread into the nasal cavity when they become more advanced This patient has a large defect of the hard palate, alveolus and gingivobuccal sulcus (Figure 28). Bilateral nasolabial flaps were raised (Figure 29). In Figure 30 the terminal branch of the facial artery i.e. the angular artery, is demonstrated. Figure 32: Healed palatal reconstruction. Figure 33: Healed facial scar The repair of a cleft palate requires careful repositioning of tissue and muscles to close the cleft and rebuild the roof of the mouth. Incisions are made on either side of the cleft and specialized flap techniques are used to reposition the tissues of the hard and soft palate

Patient Benefits From Reconstructive Surgery Many Years

Upper Throat (palate, tonsils, uvula) —This reconstructive surgery widens the throat by repositioning the palate and throat muscles, sometimes along with tissue removal. In children and some adults who have OSA with enlarged tonsils and/or adenoids, a tonsillectomy and/or adenoidectomy can resolve snoring, sleep apnea, and associated symptoms Reconstructive Surgery at UCLA Head and Neck Cancer Program. Free flap reconstruction can help many patients after they have had tumors of the head and neck removed. Free flap reconstruction is a technique of tissue transplantation from another part of the body to the head and neck. It is a technically demanding procedure that requires suturing.

The hard part consists of a bony frontal portion, which is referred to as the hard palate. The softer part at the back is referred to as the soft palate. Cancer can form in either part of the palate; fortunately, palate cancer is a rare condition. reconstructive surgery may be used to provide a more normal appearance and install tissue. Reconstruction is often done at the same time as surgery to remove the tumour but it can also be done in a separate surgery. It can be done using skin from another part of the body (called a skin graft), using tissue (skin, muscle, bone or a combination of these) from another part of the body (called flaps) and using prosthetics Soft palate cancer treatment depends on many factors, like the size and location of the cancer. Treatment can include surgery, radiation, chemotherapy, and reconstructive surgery. Rehabilitative services (for swallowing, speech, etc.) and palliative care (to relieve the pain or symptoms of other affected areas) may also be needed

Reconstructive Surgery for Oral Cancer NYU Langone Healt

Dieffenbach closed both the hard palate and the soft palate in 1834. von Langenbeck first described cleft palate closures with the use of mucoperiosteal flaps in 1861. In 1868, Billroth thought that fracturing the hamulus would enable better outcomes in surgery Reconstructive lower eyelid surgery, canthoplasty, hard palate grafts for retraction repair, and peri-orbital fat grafting. Upper Lid Revision: Upper lid malpositions can result from prior blepharoplasty which results in excessive skin removal and subsequent difficulty closing eyelids (termed lagophthalmos) and dry eyes Hard palate resection is a surgery to remove some part of the palate. It is most commonly performed for the excision of cancerous ( malignant) and non-cancerous (benign) tumors of the hard palate. Other reasons for performing hard palate resection include: Alleviating the complications of a tumor that compromise the function of the oral cavity

The nasoseptal flap provides a viable regional option for reconstructing defects of the hard palate. Prospective clinical trials are needed to investigate long-term reconstructive and functional outcomes of the composite nasoseptal flap in palatal reconstruction A similar defect in the roof of the mouth is called a cleft palate. Schedule Your Consultation Today! At Center for Dental Reconstruction, we emphasize personal care for each patient, providing oral surgery services with advanced technology. 504-833-3368 Metairie. Appointments Objective The anterior-lateral thigh (ALT) free flap is a flexible reconstructive option with fascia lata, fasciocutaneous, and musculocutaneous options. The objective of this study is to evaluate ALT fascia lata free flap reconstruction of isolated hard palate defects. Methods Retrospective chart review of all palate reconstructions with ALT free flap from 2008-2017 by a single surgeon, at a. The hard palate is made of bone and the soft palate is made of muscle. Fig. 1 - Submucous cleft palate. The repair of a cleft palate requires cleft palate reconstructive surgery and general anesthesia. The cleft is repaired by bringing the tissues around the cleft together. There is no need for artificial materials or bone grafts in order. What reconstructive surgery do you specialize in? How much of the roof of the mouth does a cleft palate involve? There's a hard part and as it goes farther back in the mouth, it becomes soft. Eventually you see the uvula, the thing that hangs down. All of that can be separated, and then it's a cleft palate

Hard and soft palate (hPsP) clefts. Figures 8a-c: Hard and soft palate (hPsP) clefts (Synechia/oral band ☆) Figures 8a-c demonstrate three different combined hard and soft palate clefts (abbreviated hPsP). Figure 8a additionally focuses on a specific soft tissue adhesion, a synechiae, between the alveolar process and the tongue Functional outcome in soft palate reconstruction using a radial forearm free flap in conjunction with a superiorly based pharyngeal flap. Head Neck. 1997;19:524-534. Google Scholar; 6. Remmert S, Sommer K, Krappen S, Gehrking E. Plastic reconstructive surgery of soft palate defects: functional and oncological aspects. Laryngorhinootologie They have been used successfully in periodontal surgery, lip reconstruction, and tracheoplasty. 32-34 In the ophthalmic literature, the use of hard palate mucosal grafting in lower eyelid reconstruction was first described by Siegel 31 in 1985 for repair after tumor excision A bi-palatal procedure involving both the soft tissue (soft palate) and skeletal surgery (hard palate) may be feasible for selected OSA patients. Introduction Obstructive sleep apnea (OSA) is a prevalent and potentially life-threatening disease associated with cardiovascular events, neurocognitive impairments, stroke, obesity, and other. The ALT fascia lata free flap is a versatile reconstructive option for hard palate defects, with minimal morbidity, short hospital stays, and excellent long-term results. Keywords: palate, reconstructive surgery, fascia lata, free flap, palate reconstruction, palatal fistul

RESULTS: The hard palate graft is an excellent replacement for posterior lamellar defects in eyelid reconstruction, because it presents the benefit of a mucous layer in addition to a semirigid support. CONCLUSION: The sandwich technique using hard palate was shown to be efficient, with good functional and esthetic results Distraction osteogenesis for lengthening of the hard palate: Part I. A possible new treatment concept for velopharyngeal incompetence. Experimental study in dogs. Plastic and Reconstructive Surgery, 100, 1635-47 Surgery of the hard and soft palate is generally performed with the animal in dorsal recumbency. A mouth gag is used to improve surgical access. A moistened swab may be used caudal to the soft palate to decrease risk of aspiration of blood. Wiping mucous membranes with 0.05% aqueous chlorhexidine is adequate for surgical preparation of the area. Both lip and palate surgeries require children to wear arm restraints (No-Nos) which keep them from putting their fingers or other hard objects in their newly repaired mouths. After lip and/or palate surgery, routine clinic visits will ensure that the child is doing well with both eating and speech

Defects of the posterior buccal mucosa, retromolar trigone, tonsillar fossa, posterior hard palate, and soft palate are indicated for reconstruction with a posterior-based dorsal tongue flap Anterior-based dorsal tongue flaps are excellent for reconstruction of the anterior hard palate, anterior buccal mucosa, floor of mouth, and lip/vermillion. The radial forearm free flap is beneficial for reconstruction of large palatal defect with oronasal fistula.A 51-year-old male patient who had anterior palate defect including alveolus after the radiation therapy of malignant cancer on the nasopharyngeal area undertook the radial forearm osteocutaneous free flap to close the oronasal fisula and restore the alveolar arch

RECONSTRUCTION OF CLEFT LIP AND PALATE. 3. INTRODUCTION• A cleft lip and palate is a type of birth defect that affects the upper lip and the roof of the palate. During the 6th to 10th week of pregnancy, the bones and tissues of a baby's upper jaw, nose, and mouth normally fuse to form the palate and the upper lip Palate and Uvula Repair. Coding cleft palate repairs is more complicated because the structure is more complicated. The codes are: 42200 Palatoplasty for cleft palate, soft and/or hard palate only 42205 Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only 42210 with bone graft to alveolar ridge (includes obtaining graft

Cleft palate occurs when the roof of the mouth does not completely close, leaving an opening that can extend into the nasal cavity. The cleft may involve either side of the palate. It can extend from the front of the mouth (hard palate) to the throat (soft palate). Often the cleft will also include the lip. Cleft lip is an abnormality in which. This patient had previous surgery and significant scar is encountered. Additional dissection is performed with the freer periosteal elevator. The hard palate had been harvested earlier and sized in order to treat the retraction. The palate is placed between the inferior border of the tarsus and the lower lid retractors/conjunctiva/orbital septum

Cleft palate may negatively affect your child's speech and ability to feed. If your baby is affected by cleft palate, the team at MedStar Plastic & Reconstructive Surgery can help correct the condition. Your child may require one or more surgeries to achieve a normal look and function does cleft lip and palate surgery leave behind a lot of scarring? my son will have his first cleft lip and palate surgery next month, and i'm concerned about scarring. do the reconstruction surgeries normally cause a lot of scarring? is scar removal a com Answered by Dr. Robert Hardesty: All : All surgery leaves scars.The quality and the location of the sca..

It is also important to understand that a hard palate graft is generally not sufficient to get a fully satisfactory lower eyelid reconstruction. Missing in the analysis of this problem by most oculoplastic surgeons, even those who are in the business of fixing lower eyelids, is an understanding of how the midface contributes to these issues The RFFF is a fasciocutaneous flap best used in the reconstruction of the subtotal palate defect when the defect is classified as class Ia or Ib. In addition, it is possible to use the RFFF as an osseofasciocutaneous flap with the transfer of vascularized bone when the defect requires it Gum surgery sounds worse than it is. During the procedure, a flap of skin is cut at the roof of your mouth (palate) and tissue from under the flap, called subepithelial connective tissue, is. The other major area that plastic surgeons are leaders in is reconstruction following oncologic surgery of the head and neck. Pediatric/Congenital Reconstructive Surgery The Cleft and Craniofacial Team at the University of Oklahoma is the only comprehensive multidisciplinary group of specialized physicians in the state 21141 Reconstruction midface, LeFort I; single piece, segment movement in any direction (e.g., for a fixed nodule of bone occurring commonly in the midline of the hard palate. Transverse: in a direction across the body from side to side. Vertical: upright or straight up and down. RELATED GUIDELINES: Reconstructive Surgery/Cosmetic Surgery.

Eyelid reconstruction using a hard palate mucoperiosteal

Elongated soft palate, everted laryngeal saccules, and everted tonsils are identified by oral cavity examination, with the patient under heavy sedation or general anesthesia. The soft palate is considered elongated when it extends 3 mm or further past the tip of the epiglottis. When evaluating the soft palate, correct positioning is crucial with midfacial reconstruction after the resection of huge BCC and concluded that forehead flaps combined with hard palate mucosa transplant are the most versatile reconstruction method in such cases, especially for older * Correspondence: qingyonghx@163.com Department of Plastic and Burn Surgery, West China School of Medicine

Department of Plastic and Reconstructive Surgery at the Karadeniz Technical University School of Medi-cine Farabi Hospital from April 1998 through March 2008. In addition to demographic data, we compiled information on the specifi c location of each lesion (i.e., the hard palate or the soft palate), presenting signs an Specific treatment of palate cancer depends on the location, stage, and type of the malignant tumor. In general, the main treatment for cancers developing in the hard palate area is surgery. If the hard palate cancer is more advanced, radiation therapy, chemotherapy, or both (chemoradiation) may be used to shrink the tumor before or after surgery 9.02.501 Orthognathic Surgery 10.01.514 Cosmetic and Reconstructive Services . Select a hyperlink below to be directed to that section. Palatoplasty for cleft palate, soft and/or hard palate only . 42205 . Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only of OSN. This Minicourse on Eyelid Reconstruction is presented to clarify problems encountered when coding for oculoplastic procedures. In ophthalmic plastic surgery the code selection encompasses different sections of the CPT (Current Procedural Terminology) and one must master codes from the following sections: Integumentary section Reconstruction midface, LeFort I; single piece, segment movement in Q37.0 Cleft hard palate with bilateral cleft lip DRGs provided represent the most likely assignment for a patient admitted for cleft palate surgery. *Notes: C = Inpatient procedure only

Prosthetic Reconstruction of the Maxilla and Palat

There may be less feeling in this area for a while after the surgery. This means that your child can injure the roof of the mouth without you or your child knowing it. Put hard objects away, or keep them out of your child's reach while the palate is healing. Please discuss with your surgeon the use of a pacifier after surgery Small defects (class 1) defined as central defects that do not extend laterally to involve a tooth-bearing alveolar ridge can be managed with an obturator prosthesis. An alternative is a surgical reconstruction using a soft tissue flap. We have presented a case of hard palate perforation that proved to be malignant/OSCC in origin The Physicians' Priority Line is your 24-hour link to pediatric specialists at Children's for referrals, emergency and urgent consults, physician-to-physician consults, admissions, and transport services. Call 855-850-KIDS (5437). Our fax number is 402-955-7451. Learn more about referring patients

Cleft Palate Repair: Revision Surgery on BehanceThe Total Hard Palate Defect: Iliac Crest with Internal32: Cleft–Orthognathic Surgery: The Unilateral Cleft LipOral cavity - PalateCleft Lip & Nasal Reconstruction in Children: Before/AfterMicrosurgical reconstruction of the maxilla: Algorithm and

The formation of interdisciplinary cleft palate teams has served two key objectives of successful cleft care: coordinated care provided by all of the necessary disciplines, and continuity of care with close interval follow-up of the patient throughout periods of active growth and ongoing stages of reconstruction. The best outcomes are achieved. Full-thickness eyelid defects after tumour ablation require the reconstruction of two layers, the anterior and posterior lamellae. Eyelids were successfully reconstructed after removal of malignant tumours in four patients using a hard palate mucoperiosteal graft combined with a curved V-Y subcutaneously pedicled flap. Although there have been some reports of hard palate mucosal grafts for. Hard palate function. The hard and soft palates separate the oral cavity from the nasal cavity. The combination of the two palates also helps humans breathe and chew simultaneously. That's because the passage remains open when a person is not swallowing food, thus allowing him to breathe through the mouth and nose