Improvement of phonetic function using modified two-flap palatoplasty and velar myoplasty : Report of a case

변형 피판 구개성형술 및 구개내 근육성형술의 언어기능의 개선 : 증례보고

  • Yi, Ho (Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Seoul National University) ;
  • Myoung, Hoon (Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Seoul National University) ;
  • Choi, Jin-Young (Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Seoul National University) ;
  • Lee, Jong-Ho (Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Seoul National University) ;
  • Choung, Pil-Hoon (Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Seoul National University) ;
  • Kim, Myung-Jin (Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Seoul National University) ;
  • Seo, Byoung-Moo (Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Seoul National University)
  • 이호 (서울대학교치의학대학원 구강악안면외과학교실) ;
  • 명훈 (서울대학교치의학대학원 구강악안면외과학교실) ;
  • 최진영 (서울대학교치의학대학원 구강악안면외과학교실) ;
  • 이종호 (서울대학교치의학대학원 구강악안면외과학교실) ;
  • 정필훈 (서울대학교치의학대학원 구강악안면외과학교실) ;
  • 김명진 (서울대학교치의학대학원 구강악안면외과학교실) ;
  • 서병무 (서울대학교치의학대학원 구강악안면외과학교실)
  • Published : 2006.12.31

Abstract

Cleft palate is one of the most devastating congenital facial deformities frequently accompanied by cleft lip. In many cases, it causes phonetic and swallowing difficulties although surgical interventionwas applied. Among the surgical methods, Veau-Wardill-Kilner pushback palatoplasty (V-Y reposition) is widely used in the most cleft palate cases. It is designed to lengthen the palate posteriorly, hence to overcome the speech and swallowing problems, but broad postoperative palatal scar might interfere the normal maxillary growth. If the velar muscles were not reoriented, it could result in incomplete speech recovery. In this case report, the modified two-flap palatoplasty with minimal pushback was successfully applied to a 21 month-old girl who has had incomplete cleft palate extended to the posterior third of hard palate. The speech evaluation was confirmed as functional reconstruction of cleft palate was achieved.