|
KMID : 0952820060090020079
|
|
Journal of Korean Cleft Lip & Palate Association
2006 Volume.9 No. 2 p.79 ~ p.84
|
|
|
Improvement of phonetic function using modified two-flap palatoplasty and velar myoplasty : Report of a case
|
|
Lee Ho
Myoung Hoon
Choi Jin-Young
Lee Jong-Ho
Choung Pill-Hoon
Kim Myung-Jin
Seo Byoung-Moo
|
|
|
Abstract
|
|
|
|
Cleft palate is one of the most devastating congenital facial deformities frequently accompanied by cleft lip. In many cases, it causes phonetic and swallowing difficulties although surgical interventionwas applied. Among the surgical methods, Veau-Wardill-Kilner pushback palatoplasty (V-Y reposition) is widely used in the most cleft palate cases. It is designed to lengthen the palate posteriorly, hence to overcome the speech and swallowing problems, but broad postoperative palatal scar might interfere the normal maxillary growth. If the velar muscles were not reoriented, it could result in incomplete speech recovery. In this case report, the modified two-flap palatoplasty with minimal pushback was successfully applied to a 21 month-old girl who has had incomplete cleft palate extended to the posterior third of hard palate. The speech evaluation was confirmed as functional reconstruction of cleft palate was achieved.
|
|
|
KEYWORD
|
|
|
cleft palate, pushback, two flap, velar muscles, speech
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
|