Repeat Buccal Flaps Successfully Reduce Hypernasality in a Patient with Cleft Palate.
Jackson GreenAustin LignieresChioma G ObineroPhuong D NguyenMatthew R GreivesPublished in: The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association (2023)
Surgical intervention can contribute to the development of velopharyngeal insufficiency (VPI) leading to hypernasality and regurgitation. In this case, a patient with a history of bilateral buccal flaps used for her primary CP repair presented to clinic with hypernasality and VPI as assessed by speech exam and imaging. She underwent repeat bilateral buccal flap palatal lengthening with division of the pedicles 3 months later. Three months after her division, her hypernasality score improved from moderate to mild and her posterior gap decreased. This study concluded buccal flaps can be used a second time for patients needing palatal revisions for VPI.
Keyphrases
- case report
- breast reconstruction
- soft tissue
- end stage renal disease
- randomized controlled trial
- newly diagnosed
- ejection fraction
- chronic kidney disease
- high resolution
- peritoneal dialysis
- prognostic factors
- high intensity
- aortic stenosis
- coronary artery disease
- mass spectrometry
- patient reported
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