Velopharyngeal Insufficiency
Conditions
Brief summary
Nasopharyngoscopic examination of the 20 patients with secondary VPI following 2 flap palatoplasty will be done for visualization of the velopharyngeal port, allowing assessment of the pattern and grade of velopharyngeal closure during speech and the presence or absence of a velopharyngeal gap and after VPI repair by Buccinator myomucosal flap with Furlow palatoplasty
Interventions
Anatomical restoration concept using Buccinator myomucosal flap with Furlow palatoplasty is an effective technique for lengthening the palate and improving speech outcomes
Sponsors
Study design
Eligibility
Inclusion criteria
* 5-6 years old children with previous treated complete cleft palate with 2 flap palatoplasty technique, nonsyndromic. * lip and palate repair performed by one craniofacial surgeon
Exclusion criteria
* Patients with syndromic cleft lip. * Bilateral cleft lip * Patient older younger 5 years. * Associated Cardiac anomalies. * Any systemic condition
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| grade of velopharyngeal closure during speech | immediate postoperative | Nasopharyngoscopic examination of the patients with secondary velopharyngeal insufficiency ( VPI) following two flap palatoplasty cleft palate repairs will be done for assessment of velopharyngeal closure grade during speech after VPI repair by Buccinator myomucosal flap with Furlow palatoplasty |
Countries
Egypt