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KMID : 0358819840110020239
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1984 Volume.11 No. 2 p.239 ~ p.244
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CORRECTION OF VELOPHARYNGEAL INCOMPETENCE WITH MODIFIED LATERAL PORT CONTROL(L.P.C.) PHARYNGEAL FLAP
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Choi Ou-Kyu
Wee Sung-Sin
Ham Kee-Suk
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Abstract
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Numerous surgical techniques have been recommended to correct velopharyngeal incompetence.
In 1973, Hogan first reported the lateral port control(L.P.C.) pharyngeal flap surgery, modification of the superior based posterior pharyngeal flap, introducing the concept of positive port control utilizing a "Catheter Technique".
This Hogan method has not been almost accepted by plastic surgeons because of postoperative complication such as nasal obstruction, oral breathing and snoring.
But skillful plastic surgeons could have been experienced occasionally about the reduction of these complications.
In this case, the patient had complained about speech disturbance and hypernasality because of congenital shortness of palate.
The fiberoptic nasal endoscopic examination revealed marked discrepancy between velum and pharyngeal wall.
We had applied a newly designed surgical procedure using inverted "V"-shaped incision on the nasal side of soft palate and superior based posterior pharyngeal flap.
The follow-up studies with nasoendoscopic, aerodynamic and articulatory tests were good enough.
So we would like to recommend trial of this procedure to the patient with velopharyngeal incompetence because of especially congenital shortness of the palate.
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