Unilateral Buccinator Flap for Lengthening of Short Palate

Hassani, Mohammad-Esmaiil; Latifi, Noorahmad; Karimi, Hamid; Khakzad, Mohammad Reza

doi:10.1097/scs.0000000000004612

Cited by 5 publications

(2 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The reason that the elongated soft palate may be a risk factor for OSA in the first year of life is that contact with the epiglottis, which has an elevated (more cranial) position at this stage, facilitates pharyngeal obstruction (26) . In contrast, velopalatal insufficiency often results in hypernasal speech and dysphagia (27) , which is difficult to treat especially when accompanied by a short palate (28) . It should be clarified that, although the scores define the change severity, they are not exclusive to a single problem.…”

Section: Discussionmentioning

confidence: 99%

Protocolo de Avaliação Miofuncional Orofacial com Escores Expandido: AMIOFE-E LACTENTES (6-24 MESES)

Medeiros

Nobre

Barreto

et al. 2021

CoDAS

View full text Add to dashboard Cite

RESUMO Objetivo Adaptar e validar conteúdo e aparência do Protocolo de Avaliação Miofuncional Orofacial com Escores Expandido (AMIOFE-E) para lactentes de 6 a 24 meses de idade. Método Estudo de validação. Os parâmetros foram baseados em literatura sobre desenvolvimento motor orofacial, experiência dos autores e painel de 10 especialistas. Os dados foram analisados por estatística descritiva, Índice de Validade de Conteúdo e concordância entre especialistas. Resultados O protocolo foi organizado em blocos funcionais após manutenção, exclusão, modificação e acréscimo de itens, adaptando-se à faixa etária. Obteve-se alto nível de concordância em 90% dos itens. Na versão final foram acrescidos: histórico de alimentação e hábitos parafuncionais orofaciais, mobilidade facial, dentição, modo oral de respiração, deglutição de pastoso e detalhamentos específicos para a faixa etária. Acrescentou-se um manual operacional e uma tabela para registro de escores. Conclusão O Protocolo AMIOFE-E Lactentes e respectivo manual operacional foram validados quanto ao conteúdo e aparência, e poderá contribuir no diagnóstico miofuncional orofacial na faixa etária de 6 a 24 meses de idade.

show abstract

Section: Discussionmentioning

confidence: 99%

Protocolo de Avaliação Miofuncional Orofacial com Escores Expandido: AMIOFE-E LACTENTES (6-24 MESES)

Medeiros

Nobre

Barreto

et al. 2021

CoDAS

View full text Add to dashboard Cite

show abstract

“…In the process, the palate is closed without tension, the palate is lengthened by allowing the velum to move posteriorly, the levator veli palatini muscular sling is reconstructed, proper craniofacial growth is achieved and proper oral-nasal resonance for speech is achieved. [1][2][3] Hens et al 4 reported an increase in velar length of 7.5 ± 5.5 mm, Hassani et al 5 reported an increase of 12 to 19 mm, and Mann et al 6 reported an increase of 15 to 18 mm following the buccal flap approach for velopharyngeal insufficiency. Jagannathan and Dixit 7 reported the velar length increase was an average of 44.5% of the defect size.…”

mentioning

confidence: 99%

An MRI Case Study: The Anatomic Cleft Restoration Concept Utilizing Buccal Flaps in a Primary Palatoplasty

Perry

Mann

2021

FACE

View full text Add to dashboard Cite

Purpose: Primary palatoplasties using the Anatomic Cleft Restoration Philosophy uses the buccinator myomucosal flap (buccal flap) as the major tissue replacement flap to correct the tissue deficiency within the cleft palate malformation. The surgical approach aims to close the palate without tension, lengthen the palate, reconstruct the levator muscular sling, not inhibit craniofacial growth and achieve proper resonance for speech. The purpose of this study is to present preliminary data on velopharyngeal variables to demonstrate the muscle and tissue morphology in adults with cleft palate who have not received a secondary surgery for speech or orthognathic surgery. Methods: Magnetic resonance imaging was used to analyze velopharyngeal variables for 2 individuals with the buccal flap approach and 2 individuals who received a traditional cleft palate repair. Linear measurements were obtained and 2 velopharyngeal ratios were calculated. Results: All variables were compared to previously published normative data of velopharyngeal variables for individuals with non-cleft anatomy who are of the same race, sex, and of similar age. The individuals with the buccal flap approach presented with a similar velar length and levator length in comparison to individuals with non-cleft anatomy. The individuals with the buccal flap approach presented with a longer effective velar length and velar length in comparison to individuals with a traditional cleft palate repair. Visually, the individual with the buccal flap presents with a thicker tissue mass between the hard and soft palate junction. Conclusions: In this case study, individuals who received a primary palatoplasty with the buccal flap approach presented with a longer velum and effective velar length in comparison to individuals with a traditional cleft palate repair and those with non-cleft anatomy. This study highlights the utility of using magnetic resonance imaging to quantify the changes that occur to the velopharyngeal anatomy following the buccal flap surgical approach.

show abstract

Short Palate, its etiology and consequences

Tarar

Khalid

2022

Surgical Atlas of Cleft Palate and Palatal Fistulae

View full text Add to dashboard Cite

Unilateral Buccinator Flap for Lengthening of Short Palate

Cited by 5 publications

References 39 publications

Protocolo de Avaliação Miofuncional Orofacial com Escores Expandido: AMIOFE-E LACTENTES (6-24 MESES)

Protocolo de Avaliação Miofuncional Orofacial com Escores Expandido: AMIOFE-E LACTENTES (6-24 MESES)

An MRI Case Study: The Anatomic Cleft Restoration Concept Utilizing Buccal Flaps in a Primary Palatoplasty

Short Palate, its etiology and consequences

Contact Info

Product

Resources

About