Strip pharyngoplasty as a secondary functional surgery for persistent velopharyngeal insufficiency in cleft palate.

BARRY, Florent; SCHLUND, Matthias; FERRI, Joel

doi:10.1016/j.jormas.2023.101684

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BARRY, Florent
Médicaments et biomatériaux à libération contrôlée: mécanismes et optimisation - Advanced Drug Delivery Systems - U 1008 [MBLC - ADDS]

SCHLUND, Matthias
Bioingénierie tissulaire [BIOTIS]

FERRI, Joel
Médicaments et biomatériaux à libération contrôlée: mécanismes et optimisation - Advanced Drug Delivery Systems - U 1008 [MBLC - ADDS]

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Journal of Stomatology, Oral and Maxillofacial Surgery. 2023-11-13, vol. 125, p. 101684

Résumé en anglais

Despite a satisfactory primary repair, velopharyngeal insufficiency (VPI) may be a sequel of soft palate clefts, resulting in hypernasality and phonation disorders. In order to increase the function of the pharyngeal flap during a secondary pharyngoplasty, we have developed a strip pharyngoplasty technique involving the middle constrictor muscle of the pharynx. This article describes the successive steps of the intervention and discuss its indications, advantages and limitations. Strip pharyngoplasty as a secondary functional surgery for persistent VPI after primary cleft palate repair is an attractive surgical procedure, particularly adapted to cases with defective muscle contraction by providing a muscle contingent in addition to the mucosal flap.< Réduire

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