Surgical Retrodisplacement of the Levator Veli Palatini Muscle

Mt, Edgerton; Dellon, A. Lee

doi:10.1097/00006534-197102000-00010

Cited by 41 publications

(13 citation statements)

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“…We adopt a modified V-Y palatoplasty for cleft palatal repair, although a large number of surgeons have developed surgical procedures for palatal repair [3][4][5][6][7][8][9][10]. The reason why we adopt a modified V-Y palatoplasty for cleft palatal repair is due to the following previous reports.…”

Section: Surgical Procedures For Cleft Palate Repairmentioning

confidence: 99%

Surgical Strategy of Cleft Palate Repair and Nasometric Results

Nakamura¹,

Tezuka²

2017

Designing Strategies for Cleft Lip and Palate Care

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The goal of cleft palate (CP) repair is to achieve normal speech. Despite the recent development of surgical repair of cleft palate, there is no standard procedure that ensures patients' speech to the same level as that in noncleft children. In this chapter, we describe our surgical strategy of cleft palate repair that approaches each anatomical and pathological abnormality of cleft palate and the postoperative speech outcomes using the subjective and objective manners. After palate repair based on our surgical strategy, patients' speech was significantly improved, and the nasalance scores were recovered to almost the same levels as those of Japanese children without cleft palate.

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Section: Surgical Procedures For Cleft Palate Repairmentioning

confidence: 99%

Surgical Strategy of Cleft Palate Repair and Nasometric Results

Nakamura¹,

Tezuka²

2017

Designing Strategies for Cleft Lip and Palate Care

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“…Hoopes and his colleagues (1969,1970) stressed the importance of the location of levator insertion stating that &dquo;the degree of velopharyngeal incompetence is related directly to anterior displacement of the levator veli palatini insertion.&dquo; Anterior insertion of levator has been observed in repaired cleft palates as well as in submucous cleft palates (Hoopes et al, 1970). Within recent years, there has been a trend to dissect the levator muscle fibers off the hard palate and retrodisplace them during primary palatal surgery (Edgerton & Dellon, 1971). It remains to be determined whether that procedure will permanently improve the attachment site of levator and thus reduce that particular source of VPI.…”

Section: Velum and Associated Structuresmentioning

confidence: 99%

Causes of Velopharyngeal Incompetence

Kuehn

1986

Journal of Childhool Communication Disorders

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VPI is a structural or functional aberration of the velum, pharynx, or both that underlies an accompanying speech problem. The onset of VPI may occur anytime during an individual's life but is most prevalent in children between the ages of about 2 through 5 and is typically a sequela of cleft palate. The cleft is usually overt and repaired surgically during infancy but may be a submucous cleft palate in which surgical repair generally occurs later in life. VPI sometimes also accompanies a pharyngeal deficit, particularly a deep pharynx. Other important causes of VPI include various neurologic disorders and hearing loss, although the latter may be qualitatively different from the VPI attributable to other sources. This report is a discussion of these etiologies.

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“…Over the past few decades, a large number of surgeons have developed surgical procedures for palatal repair that ensure favorable VP closure, result in normal speech, and minimize the adverse surgical effects on maxillary growth (Dorrance and Bransfield, 1943; Ruding, 1964; Kreins, 1970; Edgerton and Dellon, 1971; Kaplan, 1975; Millard, 1980; Jackson et al, 2004; Nishio et al, 2010). In previous reports, the success rates for achieving favorable VP closure or no hypernasality varied from 50.4% to 100% (Furlow, 1986; Grobbelaar et al, 1986; Horswell et al, 1993; Brothers et al, 1995; Kirshner et al, 1999; von Lierde et al, 2004; Nishio et al, 2010; Nyberg et al, 2010).…”

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confidence: 99%