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Summary
Based on 11 years' experience, the best speech results have been obtained in patients with a cleft palate when the palate has first been closed with a minimal, atraumatic palatorrhaphy, followed six months later by the construction of a dynamic muscular sphincter at the site of the velopharyngeal incompetence.
In my opinion, this easy, quick, atraumatic surgery can solve the speech problem of the cleft palate patient if the palatorrhaphy is performed when the patient is 2 years old, and the dynamic sphincter is constructed six months later.
References
- Tratamiento de las Fisuras Palatinas.Morales, London1942
- Cirugia plastica en otorrinolaringologia.Orientación méd. 1962; : 441
- Tecnica para la correccion del labio leporino unilateral total y sub-total.Trib. med., Bogotá. 1966; 5 (April)
- Construction of a dynamic muscle sphincter in cleft palates.Plastic reconstr. Surg. 1968; 41: 323-327
- A new method for repair of total or partial unilateral cleft lips.in: Trans. int. Soc. plast. Surg., Fourth Congr., 1967 Excerpta Medica, Montevideo1969: 337-348
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Copyright
© 1970 E. & S. Livingstone. Published by Elsevier Inc.
