[Nasendoscopic comparison for cleft palate repair after velopharyngeal muscle reconstruction].
OBJECTIVE
To find out the nasendoscopic changes of velopharyngeal configuration and movement after palatoplasty with or without velopharyngeal muscle reconstruction.


METHODS
The nasendoscopy was taken in forty-one patients with palatoplasty, 22 repaired by velopharyngeal muscle reconstruction and 19 with modified von Langenbeck's procedure (non-reconstructive group).


RESULTS
In patients with velopharyngeal muscle reconstruction, the velopharyngeal ports are smooth and full with a definite reduction in size than patients without velopharyngeal muscle reconstruction. During phonation, the complete and marginal velopharyngeal competence rate in reconstructive group (90.91%) is higher than the group of non-reconstruction (37.31%) The major velopharyngeal closure is circular movement in reconstructive group, otherwise coronal closure in nonconstructive group.


CONCLUSIONS
Based the observation of nasendoscopy, the velopharyngeal muscle reconstruction in palatoplasty has more definite improvement to velopharyngeal closure than non-reconstructive procedure. Palatoplasty with velopharyngeal muscle reconstruction could reduce the size of velopharyngeal port and make the complete velopharyngeal closure easier.
Cheng
Ning-xin
NX
Department of Plastic Surgery, Guangzhou First Municipal People's Hospital, Guangzhou Medical College, Guangzhou 510180, China.
Zhao
Min
M
Deng
Hui
H
Qi
Ke-ming
KM
Wu
Dai-hong
DH
Fang
Zhen
Z
Song
Ru-yao
RY
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D002972:Cleft Palate / Q000601:surgery*; D004724:Endoscopy / Q000379:methods*; D006801:Humans; D007223:Infant; D009666:Nose / Q000601:surgery*; D010609:Pharyngeal Muscles / Q000002:abnormalities / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*