| The modified buccal musculomucosal flap method for cleft palate surgery. | |
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MedLine Citation:
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PMID: 1871218 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We have reported previously on a palatoplasty method, called the T-shaped musculomucosal buccal flap method, for the primary repair of a cleft palate. This method has been used on more than 90 patients, and satisfactory outcomes have resulted in terms of maxillar development, the prevention of fistulation, and verbal functions. However, 14.3 percent of these patients exhibited a velopharyngeal incompetence that showed no potential improvement through training. In the majority of these patients, the entire raw surface of the oral cavity side could not be covered with a buccal musculomucosal flap, and as a result, postoperative contraction of the soft palate occurred. Thus a new surgical method has proven effective in which both buccal musculomucosal flaps are used as an oral lining, the nasal mucosa having been extended by Z-plasty. We have performed 25 operations using this new method and have observed no postoperative contractions of the soft palate, notwithstanding two cases (8.0 percent) of postoperative fistulation. |
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Authors:
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N Nakakita; K Maeda; H Ojimi; R Utsugi; J Maekawa |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Plastic and reconstructive surgery Volume: 88 ISSN: 0032-1052 ISO Abbreviation: Plast. Reconstr. Surg. Publication Date: 1991 Sep |
Date Detail:
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Created Date: 1991-09-19 Completed Date: 1991-09-19 Revised Date: 2011-02-16 |
Medline Journal Info:
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Nlm Unique ID: 1306050 Medline TA: Plast Reconstr Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 421-6 Citation Subset: AIM; IM |
Affiliation:
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Department of Plastic Surgery, Kanagawa Children's Medical Center, Yokohama, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Articulation Disorders
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etiology,
prevention & control Child, Preschool Cleft Palate / complications, physiopathology, surgery* Female Follow-Up Studies Humans Infant Male Mouth Mucosa / surgery Nasal Mucosa / surgery Postoperative Complications / prevention & control Surgical Flaps / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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