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Pharyngeal Flap Surgery. The superiorly based or inferiorly based pharyngeal flap surgical procedure offers an alternative to the fabrication of a palatal lift prosthesis. A pharyngeal flap surgery unites the posterior pharyngeal wall and the soft palate to definitively occlude the midsagittal aspect of the palatopharyngeal port while ...
In patients with cleft palate, the palate must be repaired through a palatoplasty for normal velopharyngeal function. Despite the palatoplasty, 20-30% of these patients will still have some degree of velopharyngeal insufficiency, which will require surgical (or prosthetic) management for correction. Therefore, a secondary operation is necessary ...
Palatoplasty is a surgical procedure used to correct or reconstruct the palate in a person with a cleft palate.The basic goals of the procedure are to close the abnormal opening between the nose and mouth, to help the patient develop normal speech, and to aid in swallowing, breathing and normal development of associated structures in the mouth.
Submucous cleft palate can also occur, which is a cleft of the soft palate with a split uvula, a furrow along the midline of the soft palate, and a notch in the back margin of the hard palate. [12] The diagnosis of submucous cleft palate often occurs late in children as a result of the nature of the cleft. [13]
Following surgery, there may remain a residual orinasal opening on the palate, alveolar ridge, or vestibule of the larynx. A palatal obturator may be used to compensate for hypernasality and to aid in speech therapy targeting correction of compensatory articulation caused by the cleft palate.
In the initial post-operative setting after thoracotomy, the use of epidural catheters, patient-controlled analgesia pumps for intravenous narcotic administration, and intravenous ketorolac are commonplace and patients generally require a 7- to 10-day hospital stay before their pain is adequately controlled with oral opioid analgesics that they ...
A cleft palate is one of the most common causes of VPI. Cleft palate is an anatomical abnormality that occurs in utero and is present at birth. This malformation can affect the lip and palate, or the palate only. A cleft palate can affect the mobility of the velopharyngeal valve, thereby resulting in VPI. [citation needed]
Maxillary hypoplasia is the most common secondary deformity that results from cleft lip and cleft palate. Because of the subjective nature of the diagnosis, the incidence of maxillary hypoplasia in people with cleft lip and palate varies between 15-50%. It is estimated that 25-50% of these patients require surgical intervention. [7]