title: [Reconstruction of velopharyngeal sphincter in secondary Cleft Palate: surgical alternative].
abstract: There are numerous surgical procedures for the repair of Cleft Palate (CP). Since 1998, in children with CP we use a modified Wardill-Kilner technique, with a large section of the nasal mucous layer at the level of the muscular insertion on the hard palate and lateral nasopharingeal wall, obtaining a push-back and reorientation of the muscular fibres without dissection, diminishing this way the risks of haemorrhages and fibrosis, simplifying the intervention. It allows a lower operative time and a short internment. The aim of our study was to evaluate the results of this operative procedure specially in the development of the speech in 73 children operated on from 1998 until 2000 in our hospital. We verify a competence of the velopharingeal sphincter with ideal results in speech in 88,8% of the cases.
authors.affiliation: Hospital Central e Especializado de Crianças Maria Pia, Serviço de Cirurgía Plástica. monicarec@iol.pt
authors.forename: M
authors.initials: M
authors.lastname: Recamán
authors.forename: B
authors.initials: B
authors.lastname: Bonet
authors.forename: J
authors.initials: J
authors.lastname: Leitão
authors.forename: A
authors.initials: A
authors.lastname: Mesquita
mesh_terms: D002972:Cleft Palate / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D014681:Velopharyngeal Insufficiency / Q000150:complications / Q000601:surgery*