203 posters, 14 topics, 5 sessions, 817 authors, 256 institutions

The AAPS 102nd Annual Meeting

May 18-21, 2024 | The Westin Copley Place, Boston, MA

D104

Long-term Outcomes Of A Modified Straight-line Palate Repair Technique: Low Fistula And Speech Correcting Surgery Rates With Single Layer Closure At The Hard-soft Junction

Preview of Long-term Outcomes Of A Modified Straight-line Palate Repair Technique: Low Fistula And Speech Correcting Surgery Rates With Single Layer Closure At The Hard-soft Junction

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Poster Presenter

Sasha Lasky

Authors

Sasha Lasky, Naikhoba Munabi, Marah Jolibois, Idean Roohani, Tayla Moshal, Zachary Collier, Priyanka Naidu, Eric Nagengast, Erin Wolfe, William Magee

Affiliations

Children's Hospital Los Angeles, Division of Plastic and Reconstructive Surgery, Keck School of Medicine of USC

Part of Topic

Craniofacial/Peds

Long-term Outcomes of a Modified Straight-line Palate Repair Technique: Low Speech Correcting Surgery and Fistula Rates

The primary goal of cleft palate (CP) repair is to facilitate normal speech development.

•The national rate of secondary speech surgery in CP patients remains high at 18.5%.

•One of our lead surgeons has developed a modified straight-line repair (SLR) technique to mitigate velopharyngeal insufficiency (VPI) rates. The technique involves:

1) Releasethenasalmucosawiththelevatorpalatinioff the hard palate

2) Dissectionintolateralavascularplanesnearthe superior constrictor

• Purpose:

1) Evaluate the ability of this modified SLR technique to

mitigate secondary speech surgery in comparison to

traditional SLR
2) Determineifsingle-layeredclosureatthehard-soft junction impacts fistula outcomes