Methods of Lengthening of Short Palate

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Surgical Atlas of Cleft Palate and Palatal Fistulae

Abstract

There are two primary indications to repair a cleft palate: the need to close the communication between oral and nasal cavities, and achieve good phonation. Palatoplasty in early years was limited to the closure of the fissure; this very often resulted in closed palate but functionally speaking, an incompetent palate. In this situation, we need an assessment from a speech pathologist, if they feel that the muscle movements are poor, and the palate length is short, we must see which options can better achieve the lengthening of the short palate. The various options are redo palatoplasty, Furlow palatoplasty, pharyngeal flap, double-opposing buccinator flap, and sphincter pharyngoplasty.

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References

  • Alvarez E (2020) Third generation veloplasty, Pakistan. J Plast Surg 8(2):64–68

    Google Scholar 

  • Baxter H (1942) A new method of elongating short palates. Can Med Assoc J 46(4):322–325

    CAS  PubMed  PubMed Central  Google Scholar 

  • Bozola AR (1989) The buccinator musculomucosal flap: anatomic study and clinical application. Plast Reconstr Surg 84(2):250–257

    Article  CAS  Google Scholar 

  • Conway H (1952) Combined use of the push back and pharyngeal flap procedures in the management of complicated cases of cleft palate. Oral Surg Oral Med Oral Pathol 5(2):133–142

    Article  CAS  Google Scholar 

  • Fayyaz GQ, Gill NA, Chaudry A et al (2017) Radical dissection of greater palatine artery and dynamic reconstruction of cleft palate. Plast Reconstr Surg Glob Open 5:e1235

    Article  Google Scholar 

  • Furlow LT (1986) Cleft palate repair by double opposing Z-plasty. Plast Reconstr Surg 78:724–736

    Article  Google Scholar 

  • Hult J (2018) A waiting time of 7 min is sufficient to reduce bleeding in oculoplastic surgery following the administration of epinephrine together with local anaesthesia. Acta Ophthalmol 96:499–502

    Article  CAS  Google Scholar 

  • Jackson IT (1985) Sphincter pharyngoplasty. Clin Plast Surg 12(4):711–717

    Article  CAS  Google Scholar 

  • Kumar AV (1985) The use of a vomerine flap for palatal lengthening: the modified Nagpur technique. Br J Plast Surg 38:343–346

    Article  CAS  Google Scholar 

  • Kummer AW (2001) Anatomy and physiology: the orofacial structures and velopharyngeal valve. In: Cleft palate and craniofacial anomalies: the effects on speech and resonance. Singular Thompson Learning, Albany, pp 3–32

    Google Scholar 

  • Lee JY (2016) Spacer facial artery musculomucosal flap: simultaneous closure of oronasal fistulas and palatal lengthening. Plast Reconstr Surg 137:240–243

    Article  CAS  Google Scholar 

  • Lendrum J, Dhar BK (1984) The Orticochea dynamic pharyngoplasty. Br J Plast Surg 31:160–168

    Article  Google Scholar 

  • Mann RJ et al (2011) The double-opposing buccal flap procedure for palatal lengthening. Plast Reconstr Surg 127(6):2413–2418

    Article  CAS  Google Scholar 

  • Millard RJ (1980) Cleft craft, vol. III: alveolar and palatal deformities. Little Brown and Company, Boston, pp 393–454

    Google Scholar 

  • Moore FT (1960) A new operation to cure nasopharyngeal incompetence. Br J Surg 47:424–428

    Article  CAS  Google Scholar 

  • Orticochea M (1968) Construction of a dynamic muscle sphincter in cleft palates. Plast Reconstr Surg 41:323

    Article  CAS  Google Scholar 

  • Orticochea M (1970) Results of the dynamic muscle sphincter operation in cleft palates. Br J Plast Surg 23:108

    Article  CAS  Google Scholar 

  • Randall P (2000) Palatal length in cleft palate as a predictor of speech outcome. Plast Reconstr Surg 106:1254

    Google Scholar 

  • Reichert H (1974) The lateral velo-pharyngoplasty: a new method for the correction of open nasality. J Cranio-Maxillofac Surg 2:95–101

    Article  CAS  Google Scholar 

  • Sloan GM (2000) Posterior pharyngeal flap and sphincter pharyngoplasty: the state of the art. Cleft Palate Craniofac J 37(2):112–122

    Article  CAS  Google Scholar 

  • Szeto C (2011) The buccinator flap: a review of current clinical applications. Curr Opin Otolaryngol Head Neck Surg 19(4):257–256

    Article  Google Scholar 

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Correspondence to Miguel E. Fariña .

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Fariña, M.E., Fayyaz, G.Q. (2022). Methods of Lengthening of Short Palate. In: Fayyaz, G.Q. (eds) Surgical Atlas of Cleft Palate and Palatal Fistulae. Springer, Singapore. https://doi.org/10.1007/978-981-15-3889-6_48-1

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  • DOI: https://doi.org/10.1007/978-981-15-3889-6_48-1

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