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Title: Palate Lengthening by Buccinator Myomucosal Flaps for Velopharyngeal Insufficiency
Authors: Hens, Greet ×
Sell, D
Pinkstone, M
Birch, M J
Hay, N
Sommerlad, B C
Kangesu, L #
Issue Date: Sep-2013
Publisher: American Cleft Palate-Craniofacial Association
Series Title: The Cleft Palate-Craniofacial Journal vol:50 issue:5 pages:e84-91
Abstract: Objective :  To assess the outcome of palate lengthening by myomucosal buccinator flaps for velopharyngeal insufficiency both in terms of speech and changes in palate length. Design :  Thirty-two consecutive patients who underwent the buccinator flap procedure were reviewed retrospectively. Palate length and the presence or absence of a velopharyngeal gap were assessed on pre- and postoperative videofluoroscopic recordings using a calibrated image analysis system. Hypernasality, nasal emission, nasal turbulence, and passive cleft type articulation errors were evaluated blindly by a speech-language pathologist external to the team using pre- and postoperative speech recordings. Setting :  Multidisciplinary cleft team based in a tertiary referral center. Results :  In 81% of patients, speech outcome was such that no further velopharyngeal surgery was considered necessary at the time of follow-up. The buccinator flap procedure resulted in a mean palate lengthening of 7.5 mm (±5.5 SD). After the operation, there was a complete elimination of the velopharyngeal gap on lateral videofluoroscopy in 77% of patients. There were significant decreases in hypernasality ratings and passive cleft type articulation errors postoperatively. Conclusion :  Palatal lengthening with myomucosal buccinator flaps in patients with velopharyngeal insufficiency is effective and safe. It has become one of our routinely practiced procedures for velopharyngeal insufficiency.
URI: 
ISSN: 1545-1569
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Department of Neurosciences - miscellaneous
× corresponding author
# (joint) last author

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