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The purpose of this study was to demonstrate a new application of the pressure-flow technique and to determine whether the temporal characteristics of aerodynamic data associated with single-word utterances could reliably differentiate speakers with adequate palatopharyngeal closure from those with inadequacy. The groups included 10 normals, 20 patients(More)
The efficacy of palate lengthening procedures and intravelar veloplasty performed at the time of primary cleft palate repair was studied in a series of eighty patients by comparing speech results, pressure flow studies, and the ultimate need for pharyngeal flaps. The results indicate that intravelar veloplasty yields better speech through better(More)
In the preceding article, patients undergoing von Langenbeck palatoplasty without reconstruction of the levator veli palatini muscles were compared to patients undergoing the identical procedure, but with intravelar veloplasty. Palatoplasty included repair of both hard and soft palate, tension-free approximation of mucoperiosteal and soft palate flaps, and(More)
The complications of 196 patients who underwent primary palatoplasties at North Carolina Memorial Hospital between 1963 and 1983 were reviewed. The von Langenbeck technique was utilized in 50 percent of the patients, the Wardill-Kilner technique in 45 percent, and the Dorrance technique in 5 percent. Intravelar veloplasties were performed in 34 percent of(More)
Questionnaire data about genetic counseling experiences are presented from 37 parents and 25 patients who were evaluated. The subjects' perceptions vary regarding the cause of cleft lip or palate or both. More positive feelings about the birth defect are expressed after the subjects receive counseling. However, 25 percent of the sample express negative(More)
Fifty-two patients with velopharyngeal incompetency without overt cleft palate underwent pharyngeal flap surgery. Surgery included exploration of the soft palate and reconstruction of the levator muscles. Four patients had a completely normal hard and soft palate. In two patients, the palatal musculature was normal but a U-shaped defect of the posterior(More)
Cerebrospinal fluid rhinorrhea, whatever the etiology, is a serious and life-threatening problem. We present a case following rhinoplasty. To our knowledge, this specific complication has not been reported, most likely because it has gone unrecognized, since most cerebrospinal fluid leaks cease spontaneously. Surgeons performing rhinoplasty should be aware(More)