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Effectiveness of secondary furlow palatoplasty with buccal myomucosal flap in correction of velopharyngeal insufficiency in patients with cleft palate.
Aboulhassan, Mamdouh Ahmed; Elrouby, Iman Mohamed; Refahee, Shaimaa Mohsen; Abd-El-Ghafour, Mohamed.
Afiliación
  • Aboulhassan MA; Plastic Section, General Surgery Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
  • Elrouby IM; Phoniatrics Department, Hearing and Speech Institute, Cairo, Egypt.
  • Refahee SM; Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Fayoum University, Fayoum, Egypt. smr11@fayoum.edu.eg.
  • Abd-El-Ghafour M; Department of Orthodontics, Faculty of Dentistry, Cairo University, Cairo, Egypt.
Clin Oral Investig ; 28(5): 257, 2024 Apr 17.
Article en En | MEDLINE | ID: mdl-38630186
ABSTRACT

OBJECTIVES:

The main purpose of this study was evaluation of the effectiveness of secondary furlow palatoplasty with buccal myomucosal flap (FPBF) for the treatment of velopharyngeal insufficiency (VPI) in patients with a cleft palate who were treated with two flap palatoplasty (TFP) in their primary palate repair. MATERIAL AND

METHODS:

Twenty-three medically free children aged 4-8 years with non-syndromic and previously repaired cleft palate via TFP participated in the study. All patients received secondary surgery following the technique of FPBF. Preoperative speech evaluation was done before the secondary repair and 3 months after the surgery using a hypernasal speech scale, speech intelligibility scale, and nasopharyngoscopy.

RESULTS:

A statistically significant improvement was observed regarding the degree of hypernasality and speech intelligibility while comparing the preoperative scores after the primary surgery to the postoperative scores after the secondary surgery. In addition, a statistically significant improvement was found in the nasopharyngoscopic assessment.

CONCLUSIONS:

The incorporation of a buccal myomucosal flap with Furlow palatoplasty was successful in improving hypernasality, speech intelligibility, and nasopharyngoscopic scores in patients with cleft palate. TRIAL REGISTRATION clinicaltrials.gov (NCT05626933). CLINICAL RELEVANCE This technique might be the surgical technique of choice while treating patients who are suffering from VPI after cleft palate repair.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Insuficiencia Velofaríngea / Fisura del Paladar / Procedimientos de Cirugía Plástica Límite: Child / Child, preschool / Humans Idioma: En Revista: Clin Oral Investig Asunto de la revista: ODONTOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Egipto Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Insuficiencia Velofaríngea / Fisura del Paladar / Procedimientos de Cirugía Plástica Límite: Child / Child, preschool / Humans Idioma: En Revista: Clin Oral Investig Asunto de la revista: ODONTOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Egipto Pais de publicación: Alemania