Lateral relaxing incision was carried out at the lateral nasopharynx wall to transform a complete cleft into an incomplete form and to extend the soft palate with Furlow’s double-opposing Z-plasty. This procedure involving Sommerlad’s levator veli palatini dissection was performed to enhance velopharyngeal functions after cleft palate is repaired. Thus, the velar muscular sling is fully restored. Individualized surgical protocols are designed for approximately levator veli palatini are broadened. Therefore, cleft palate can be precisely and surgically managed.
