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Abstracts: Commentary |

Two-Flap Palatoplasty Over 2 Decades of Experience

Jason J. Miller, MD, DMD
Arch Facial Plast Surg. 2007;9(2):144-145. doi:10.1001/archfaci.9.2.144.
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Salyer et al have presented a large retrospective review of 382 palatoplasties performed over a 20-year period. Salyer performed a modification of Bardach’s1 technique as a single-stage repair. Most of the surgical procedures were done before the patient reached the age of 12 months, with a mean age of 9.37 months. Of the 382 patients, 150 had a detailed speech analysis performed with a minimum of 4 years of follow-up. The need for secondary palatal surgery was the main outcome measure of success, and the rate of velopharyngeal incompetence was 8.92%. Of the secondary surgical procedures performed, 88% were for a pharyngeal flap. The palatal fistula rate was 10%.

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