|
KMID : 0358819770040010001
|
|
Journal of Korean Society of Plastic and Reconstructive Surgeons
1977 Volume.4 No. 1 p.1 ~ p.6
|
|
|
Pharyngopalatoplasty with Muscle Transplantation
|
|
Lee Young-Kil
Kang Jin-Sung
|
|
|
Abstract
|
|
|
There are many surgical procedures in cleft palate repairs to obtain velopharyngeal competency, but while often successful none of them restores the dynamic physiological effects of elevation of the soft palate and pharyngeal movement. In order to achieve effective velopharyngeal closure, pharyngopalatoplasty was performed with good results in three patients using a musculo-tendinous graft of the previously denervated palmaris longus.
Electromyographic studies one year and six months after muscle transplantation did not reveal any active action potentials. Even if survival of the entire muscle does not occur, the bulk and purse string effects are not lost because of fibrous tissue replacement. On lateral static pharyngography done eighteen months postoperatively, the distance from the posterior pharyngeal wall to the nasal side of the soft palate is considerably closer than when a simple pushback procedure is done.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|