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alveolar process alveolar ridge anatomical anesthesia aponeurosis appliance arch attached bilateral border cavity child cleft lip cleft palate patient cleft palate surgery closed complete cleft defect deformity dental displacement Dorrance Dorrance2 elevated elongation hamular process hard and soft hard palate harelip incisor infants Langenbeck procedure lateral incisions levator maxilla maxillary mesial method midline mouth mucoperiosteal flaps mucoperiosteum mucous membrane nasal mucosa nasopharynx nose obturator Oldfield4 Oral Surg orthodontic palatal muscles palatal tissue palate cleft palate operations palate-lengthening procedures palatine aponeurosis palatopharyngeus muscles performed plate portion posterior pharyngeal wall posterior pillars premaxilla prosthesis prosthetic push-back raw surface relaxation incisions repair reviewer Reviewer's Comments scar Schultz38 septum side skin graft soft palate soft tissue speech training split stage superior constrictor muscle surgeon surgical suture suture line technique teeth tensor tion tongue tooth treatment upper uranoplasty uvula Vaughan Vaughan29 Veau velopharyngeal closure velum vomer Wardill wire wrote