BARRY, Florent; SCHLUND, Matthias; FERRI, Joël

doi:10.1016/j.jormas.2023.101684

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BARRY, Florent

SCHLUND, Matthias
Bioingénierie tissulaire [BIOTIS]

FERRI, Joël

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Journal of Stomatology, Oral and Maxillofacial Surgery. 2024-06, vol. 125, n° 3

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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. © 2023 Elsevier Masson SAS< Leer menos

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Velopharyngeal insufficiency

Cleft palate

Soft palate

Pharyngoplasty

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

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