title: [Nasendoscopic comparison for cleft palate repair after velopharyngeal muscle reconstruction].
abstract: 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.
authors: Department of Plastic Surgery, Guangzhou First Municipal People's Hospital, Guangzhou Medical College, Guangzhou 510180, China.
authors: Ning-xin
authors: NX
authors: Cheng
authors: Min
authors: M
authors: Zhao
authors: Hui
authors: H
authors: Deng
authors: Ke-ming
authors: KM
authors: Qi
authors: Dai-hong
authors: DH
authors: Wu
authors: Zhen
authors: Z
authors: Fang
authors: Ru-yao
authors: RY
authors: Song
mesh_terms: 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*