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Jason J. Miller, MD, DMD

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Plastic and Reconstructive Surgery

Two-Flap Palatoplasty: 20-Year Experience and Evolution of Surgical Technique

Kenneth E. Salyer, MD; Karen W. E. Sng, MRCS(Edin), MMed(Surg)(Singapore); Elizabeth E. Sperry, ScD, CCC-SLP

Background:  The two-flap palatoplasty was described more than 30 years ago, but there are few reports of long-term results using this technique. There are also very few long-term series of a single method of palatoplasty from a single surgeon.

Methods:  The authors reviewed the technique of the two-flap palatoplasty, with emphasis on the senior author's (K.E.S.) modifications. The authors also retrospectively reviewed 382 two-flap palatoplasties performed by the senior author in nonsyndromic patients over a 20-year period. The incidence of secondary velopharyngeal surgery was established. Detailed speech analysis was performed in a subset of 150 patients.

Results:  The proportion of patients with velopharyngeal insufficiency over 20 years was 8.92%, falling from 10.95% in the first decade to . . . [Full Text of this Article]