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Modified two-flaps palatoplasty with lateral mucus relaxing incision in cleft repair: A STROBE-compliant retrospective study

STUDY DESIGN: clinical results of A STROBE-compliant retrospective study OBJECTIVE: To achieving adequate pharyngeal closure and improve the pharyngeal function by a modified two-flap palatoplasty. SUMMARY OF BACKGROUND: Excessive tension in soft palate is the main factor causing the dysphonia after...

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Autores principales: Gu, Meizhen, Huang, Xiuchang, Xu, Hongming, Chen, Fang, Jiang, Yugang, Li, Xiaoyan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6882655/
https://www.ncbi.nlm.nih.gov/pubmed/31764797
http://dx.doi.org/10.1097/MD.0000000000017958
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author Gu, Meizhen
Huang, Xiuchang
Xu, Hongming
Chen, Fang
Jiang, Yugang
Li, Xiaoyan
author_facet Gu, Meizhen
Huang, Xiuchang
Xu, Hongming
Chen, Fang
Jiang, Yugang
Li, Xiaoyan
author_sort Gu, Meizhen
collection PubMed
description STUDY DESIGN: clinical results of A STROBE-compliant retrospective study OBJECTIVE: To achieving adequate pharyngeal closure and improve the pharyngeal function by a modified two-flap palatoplasty. SUMMARY OF BACKGROUND: Excessive tension in soft palate is the main factor causing the dysphonia after cleft palate. The tension-free suture of the soft palate is the key to achieving adequate pharyngeal closure. In this paper, a modified two-flap palatoplasty improved the pharyngeal function METHODS: From August 2016 to December 2017, 20 patients with cleft palate were treated with a modified two-flap palatoplasty of the posterolateral symmetrical mucosal relaxation incision. The mucosal relaxation incision was performed on both posterolateral sides of the soft palate. RESULTS: All cases had good healing of mucosal flap and the palate. All patients underwent endoscopic examination at 6 months after operation. The postoperative results were satisfactory, with no complications. Twelve patients had bilateral exudative otitis media before operation, 4 patients returned to normal postoperatively, and 8 patients underwent bilateral tympanic membrane catheterization; 2 patients had abnormal function of bilateral eustachian tube before operation and returned to normal postoperatively; 3 patients had unilateral exudative otitis media before operation, and all of them returned to normal; the acoustic impedance test was normal in 3 children before operation. Most children begin to learn to speak, parents are satisfied with their pronunciation, and 3 children are in speech rehabilitation due to unclear pronunciation. CONCLUSIONS: We propose a technique to improve the function of the velopharyngeal closure which effectively reduces the incidence of pharyngeal insufficiency and occurrence of operative correction of pharyngeal closure dysfunction. The modifed two-flap palatoplasty with posterior lateral symmetric mucosal relaxation incision is beneficial for better velopharyngeal closure.
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spelling pubmed-68826552020-01-22 Modified two-flaps palatoplasty with lateral mucus relaxing incision in cleft repair: A STROBE-compliant retrospective study Gu, Meizhen Huang, Xiuchang Xu, Hongming Chen, Fang Jiang, Yugang Li, Xiaoyan Medicine (Baltimore) 6000 STUDY DESIGN: clinical results of A STROBE-compliant retrospective study OBJECTIVE: To achieving adequate pharyngeal closure and improve the pharyngeal function by a modified two-flap palatoplasty. SUMMARY OF BACKGROUND: Excessive tension in soft palate is the main factor causing the dysphonia after cleft palate. The tension-free suture of the soft palate is the key to achieving adequate pharyngeal closure. In this paper, a modified two-flap palatoplasty improved the pharyngeal function METHODS: From August 2016 to December 2017, 20 patients with cleft palate were treated with a modified two-flap palatoplasty of the posterolateral symmetrical mucosal relaxation incision. The mucosal relaxation incision was performed on both posterolateral sides of the soft palate. RESULTS: All cases had good healing of mucosal flap and the palate. All patients underwent endoscopic examination at 6 months after operation. The postoperative results were satisfactory, with no complications. Twelve patients had bilateral exudative otitis media before operation, 4 patients returned to normal postoperatively, and 8 patients underwent bilateral tympanic membrane catheterization; 2 patients had abnormal function of bilateral eustachian tube before operation and returned to normal postoperatively; 3 patients had unilateral exudative otitis media before operation, and all of them returned to normal; the acoustic impedance test was normal in 3 children before operation. Most children begin to learn to speak, parents are satisfied with their pronunciation, and 3 children are in speech rehabilitation due to unclear pronunciation. CONCLUSIONS: We propose a technique to improve the function of the velopharyngeal closure which effectively reduces the incidence of pharyngeal insufficiency and occurrence of operative correction of pharyngeal closure dysfunction. The modifed two-flap palatoplasty with posterior lateral symmetric mucosal relaxation incision is beneficial for better velopharyngeal closure. Wolters Kluwer Health 2019-11-22 /pmc/articles/PMC6882655/ /pubmed/31764797 http://dx.doi.org/10.1097/MD.0000000000017958 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0
spellingShingle 6000
Gu, Meizhen
Huang, Xiuchang
Xu, Hongming
Chen, Fang
Jiang, Yugang
Li, Xiaoyan
Modified two-flaps palatoplasty with lateral mucus relaxing incision in cleft repair: A STROBE-compliant retrospective study
title Modified two-flaps palatoplasty with lateral mucus relaxing incision in cleft repair: A STROBE-compliant retrospective study
title_full Modified two-flaps palatoplasty with lateral mucus relaxing incision in cleft repair: A STROBE-compliant retrospective study
title_fullStr Modified two-flaps palatoplasty with lateral mucus relaxing incision in cleft repair: A STROBE-compliant retrospective study
title_full_unstemmed Modified two-flaps palatoplasty with lateral mucus relaxing incision in cleft repair: A STROBE-compliant retrospective study
title_short Modified two-flaps palatoplasty with lateral mucus relaxing incision in cleft repair: A STROBE-compliant retrospective study
title_sort modified two-flaps palatoplasty with lateral mucus relaxing incision in cleft repair: a strobe-compliant retrospective study
topic 6000
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6882655/
https://www.ncbi.nlm.nih.gov/pubmed/31764797
http://dx.doi.org/10.1097/MD.0000000000017958
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