Fig. 1

The surgical procedures of palatoplasty using the Sommerlad-Furlow modified technique. A an incision was made along the edge of the cleft to separate the oral mucosa layer and nasal mucosa layer. B A considerable amount of hard palate mucoperiosteal flap elevation and release of greater palatine neurovascular pedicles, nasopharyngeal incision is made on the medial pterygoid plate using an electrotome. C The nasal mucoperiosteum was peeled off anteriorly from the palatine bone and medially from the medial pterygoid plate toward the cranial base and suturing the nasal layer of the hard palate. The nasal musculomucosal layer was subjected to radical muscle dissection. then Z-plasty flaps on the nasal layer of the soft palate were designed. D Complete suturing of the nasal layer of soft palate then suturing the dissected palatal muscle. E The oral layer is sutured without relaxing incisions