INTRODUCTION: Cleft lip and palate is one of the most common craniofacial congenital anomalies in the human race which results from failed fusion of the embryonic facial processes. The goal of reconstructive surgery to repair a cleft palate is to separate the oral cavity from the nasal cavity. The best physiological technique should be used, with a return to a state as close anatomically to normal as possible.
AIMS: To assess different postoperative outcomes of two modified surgical techniques for primary cleft palate repair with an emphasis on palatal soft tissue length.
METHODS: Twenty cleft palate patients underwent palatoplasty using Medial Langenbeck and submucosal dissection as two modified palatoplasty surgical techniques of von Langenbeck.
Results: There was no significant difference between Medial Langenbeck and submucosal dissection in the palatal lengthening after primary cleft palate repair.
Conclusion: Medial Langenbeck and submucosal dissection are significantly superior to von Langenbeck palatoplasty in patients undergoing primary cleft palate repair in achieving the required palatal lengthening and development without creating raw areas or scarring.