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- W2299530350 abstract "I report the incidence of hypernasal resonance, nasal emission, and fistula after intravelar surgery with retropositioning of the levator muscle by a single surgeon in a consecutive series of 51 patients who presented with symptomatic submucous cleft palate. Intravelar veloplasty with repositioning of the levator muscle was highly effective in that 37/51 patients (73%) achieved either normal or mild and inconsistent resonance (p<0.0001), and 39 (77%) normal or mild and inconsistent nasal emissions (p<0.0001). The fistula rate was 6% (n=3). Both the clinical grade of submucous cleft palate and the presence of a syndrome correlated directly with changes in hypernasality, whereas the age of the patient and the degree of hypernasality at presentation did not. Non-syndromic patients with clinical grade III and II submucous cleft palates responded well to intravelar surgery with repositioning of the levator muscle, and routine preoperative videofluoroscopy is not recommended. I recommend intravelar surgery with repositioning of the levator muscle routinely for all non-syndromic patients who present with grade III or II submucous cleft palate and velopharyngeal insufficiency." @default.
- W2299530350 created "2016-06-24" @default.
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- W2299530350 date "2016-06-01" @default.
- W2299530350 modified "2023-09-26" @default.
- W2299530350 title "Submucous cleft palate: outcomes after primary repair with repositioning of the levator muscle in 51 consecutive patients" @default.
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- W2299530350 doi "https://doi.org/10.1016/j.bjoms.2016.02.034" @default.
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