Journal of Surgical Technique and Case Report
Journal of Surgical Technique and Case Report
ORIGINAL ARTICLE
Year : 2012  |  Volume : 4  |  Issue : 1  |  Page : 6-9

Assessment of speech in primary cleft palate by two-layer closure (Conservative management)


1 Department of Oral and Maxillofacial Surgery, Sharda Dental College, Greater Noida, India
2 Department of Oral and Maxillofacial Surgery, SGT Dental College, Gurgaon, India
3 Department of Oral and Maxillofacial Surgery, Ambedkar Dental College, Bangalore, Karnataka, India

Correspondence Address:
Harsha Jain
Department of Oral and Maxillofacial Surgery, Sharda Dental College, Greater Noida
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2006-8808.100344

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Treatment of the cleft palate has evolved over a long period of time. Various techniques of cleft palate repair that are practiced today are the results of principles learned through many years of modifications. The challenge in the art of modern palatoplasty is no longer successful closure of the cleft palate but an optimal speech outcome without compromising maxillofacial growth. Throughout these periods of evolution in the treatment of cleft palate, the effectiveness of various treatment protocols has been challenged by controversies concerning speech and maxillofacial growth. In this article we have evaluated the results of Pinto's modification of Wardill-Kilner palatoplasty without radical dissection of the levator veli palitini muscle on speech and post-op fistula in two different age groups in 20 patients. Preoperative and 6-month postoperative speech assessment values indicated that two-layer palatoplasty (modified Wardill-Kilner V-Y pushback technique) without an intravelar veloplasty technique was good for speech.


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