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A, Congenital palatal fistula in case 1, at the junction of the hard and soft palates. Note the diastasis of the palatal muscles as seen in a submucous cleft palate and shortened velum. B, Palatal fistula repair using a modified von Langenbeck technique. See lateral incision that allows for midline closure. C, Two-year follow-up after von Langenbeck palatoplasty, showing full closure of the fistula.
