Two Different Hard Palate Closure Techniques in Two-stage Palatoplasty : Effects on Velopharyngeal Closure and Articulation

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概要

• 論文の詳細を見る

• Two different hard palate closure techniques, in two-stage palatoplasty, was evaluated in 12 patients. The lip and soft palate were closed at 3 to 7 months of age. The patients were then divided into two groups of six and the hard palate closed at 17 to 23 months of age, either by a vomer flap (VF) with a skin graft (Osada's two-stage palatoplasty) in the VF group, or by the push-back (PB) procedure of the mucoperiosteal flap in the PB group. Velopharyngeal closure (VPC) during a gag reflex before and after hard palate closure, and the articulation of these patients after closure, were evaluated and compared between the two groups. Regarding VPC before hard palate closure, three "Poor" and three "Borderline" outcomes were noted in each group. We conclude that, by introducing the pharyngeal flap, the patients in the VF group obtained good articulation, actually comparable to that in the PB group.

• 東海大学の論文

著者

• Akamatsu Tadashi

  Department of Earth Sciences, School of Science, Nagoya University

• Miyasaka Muneo

  Department Of Plastic And Reconstructive Surgery Tokai University School Of Medicine

• OSADA Mitsuhiro

  Department of Plastic Surgery of Tokai University School of Medicine

• NISHIMURA Masaki

  Department of Electrical Engineering, Osaka University

• Osada Mitsuhiro

  Department Of Plastic Surgery Tokai University School Of Medicine

• Tanino R

  Tokai Univ. School Of Medicine

• Tanino Ryuzaburo

  Department Of Plastic Surgery School Of Medicine Tokai University

• Akamatsu Tadashi

  Department Of Plastic Surgery Tokai University School Of Medicine

• Nishimura M

  Department Of Plastic Surgery Tokai University School Of Medicine

• SAKUMA Yuko

  Department of Plastic Surgery, Tokai University School of Medicine

• INAEDA Michiko

  Department of Otolaryngology, Tokai University School of Medicine

• Sakuma Yuko

  Department Of Plastic Surgery Tokai University School Of Medicine

• Inaeda Michiko

  Department Of Otolaryngology Tokai University School Of Medicine

• TANINO RYUZABURO

  Department of Plastic and Reconstructive Surgery, School of Medicine, Keio University

• OSADA MITSUHIRO

  Department of Plastic Reconstructive Surgery, School of Medicine, Tokai University

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