Pharyngoplasty through cross palatopharyngeal flaps.
A surgical technique is presented which is a development of Orticochea's pharyngoplasty, which permits the establishment of a dynamic velopharyngeal closure, using the palatopharyngeal muscles by intercrossing and introducing them into a surgical pocket. This technique obtains a new relationship by changes in the direction of anter-posterior action of the palatopharyngeal muscles (longitudinal portion), which are transformed into an oblique force by crossing them, It may be done prior to the palatal closure (previous or prophylactic pharyngoplasty), simultaneously or later, to correct any deficiency that may remain. This technique avoids the pushback and a good functional result is obtained.
D002972:Cleft Palate / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D009132:Muscles / Q000601:surgery*; D010159:Palate / Q000503:physiopathology / Q000601:surgery*; D010614:Pharynx / Q000502:physiology / Q000503:physiopathology / Q000601:surgery*; D013060:Speech; D013515:Surgery, Oral / Q000379:methods