{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T22:20:56Z","timestamp":1791670856198,"version":"4.3.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2012,3,1]],"date-time":"2012-03-01T00:00:00Z","timestamp":1330560000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"published-print":{"date-parts":[[2012,3]]},"abstract":"<jats:p>Two-flap palatoplasty is commonly used to treat cleft palate defects, but only a few reports on outcomes have been published in the literature. We conducted a retrospective analysis of 257 cases of cleft palate treated with two-flap palatoplasty at a single center in Greece over a 13-year period. Our outcomes data included surgical complication rates, the results of speech assessments, midface development, and other parameters. We found a low rate of short- and long-term complications that required revision surgery, such as symptomatic fistula (5.4%) and velopharyngeal insufficiency (5.3%). Speech outcomes in relation to intelligibility, hypernasality, and nasal emissions were satisfactory in 70 to 86% of patients. Dental arch relationships, as estimated by the 5-Year-Olds Index, were judged to be either good or excellent in 62% of those evaluated. A considerable proportion of patients (45%) who had otitis media with effusion experienced a spontaneous resolution without the use of tympanostomy tubes 2 to 8 months after their operation. We conclude that two-flap palatoplasty is an effective procedure that warrants further attention. We describe the surgical technique in detail. Our technique includes a modified intravelar veloplasty that incorporates near-total muscle retropositioning.<\/jats:p>","DOI":"10.1177\/014556131209100320","type":"journal-article","created":{"date-parts":[[2019,1,10]],"date-time":"2019-01-10T03:20:15Z","timestamp":1547090415000},"page":"E33-E37","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Two-Flap Palatoplasty: Description of the Surgical Technique and reporting of Results at a Single Center"],"prefix":"10.1177","volume":"91","author":[{"given":"Emmanouel","family":"Koudoumnakis","sequence":"first","affiliation":[{"name":"Center for Craniofacial Anomalies, Department of Otolaryngology\u2013Head and Neck Surgery, Aghia Sophia Children's Hospital, Athens, Greece."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioannis M.","family":"Vlastos","sequence":"additional","affiliation":[{"name":"Center for Craniofacial Anomalies, Department of Otolaryngology\u2013Head and Neck Surgery, Aghia Sophia Children's Hospital, Athens, Greece."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kostas","family":"Parpounas","sequence":"additional","affiliation":[{"name":"Center for Craniofacial Anomalies, Department of Otolaryngology\u2013Head and Neck Surgery, Aghia Sophia Children's Hospital, Athens, Greece."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Houlakis","sequence":"additional","affiliation":[{"name":"Center for Craniofacial Anomalies, Department of Otolaryngology\u2013Head and Neck Surgery, Aghia Sophia Children's Hospital, Athens, Greece."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2012,3,1]]},"reference":[{"key":"bibr1-014556131209100320","doi-asserted-by":"publisher","DOI":"10.1136\/adc.74.4.360"},{"key":"bibr2-014556131209100320","unstructured":"LeeKJ. 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Philadelphia: Lippincott Williams & Wilkins; 1999."},{"key":"bibr11-014556131209100320","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.134.10.1085"},{"key":"bibr12-014556131209100320","doi-asserted-by":"publisher","DOI":"10.1597\/02-119.3.1"}],"container-title":["Ear, Nose &amp; Throat Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/014556131209100320","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/014556131209100320","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:37:43Z","timestamp":1777401463000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/014556131209100320"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,3]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2012,3]]}},"alternative-id":["10.1177\/014556131209100320"],"URL":"https:\/\/doi.org\/10.1177\/014556131209100320","relation":{},"ISSN":["0145-5613","1942-7522"],"issn-type":[{"value":"0145-5613","type":"print"},{"value":"1942-7522","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,3]]}}}