{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T06:15:48Z","timestamp":1790057748031,"version":"4.0.1"},"reference-count":26,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,8,18]],"date-time":"2020-08-18T00:00:00Z","timestamp":1597708800000},"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":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To assess the results of the new L pharyngeal flap for treatment of velopharyngeal insufficiency (VPI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This study included 60 patients who were diagnosed as persistent VPI (for &gt; 1 year without response to speech therapy for 6 months at least). L-shaped superiorly based pharyngeal flap was tailored from oropharynx and inserted into the soft palate through a transverse full-thickness palatal incision 1 cm from the hard palate, then the distal horizontal part of the flap was spread 1 cm anteroposterior direction and 1 cm horizontally into the soft palate. Prior to and after surgery, patients were assessed by oral examination, video nasoendoscopy, and speech evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Postoperative speech assessment showed significant improvement in nasoendoscopic closure, speech assessment, and nasometric assessments. Grade 4 velopharyngeal valve closure (complete closure) could be achieved in 59 (98.3%) patients at 6 months postoperatively. No patients showed dehiscence (partial or total) of the flap and no obstructive sleep apnea was reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The newly designed L pharyngeal flap was proved to be highly effective, reliable, and safe in treating patients with persistent VPI with easy applicability and without significant complication.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665620950150","type":"journal-article","created":{"date-parts":[[2020,8,18]],"date-time":"2020-08-18T05:10:33Z","timestamp":1597727433000},"page":"244-250","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Assessment of the New L Pharyngeal Flap for Velopharyngeal Insufficiency"],"prefix":"10.1177","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0172-7151","authenticated-orcid":false,"given":"Mohammad Waheed","family":"El-Anwar","sequence":"first","affiliation":[{"name":"Otorhinolaryngology\u2013Head and Neck Surgery Department, Faculty of Medicine, Zagazig University, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ezzeddin","family":"Elsheikh","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology\u2013Head and Neck Surgery Department, Faculty of Medicine, Zagazig University, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0340-5057","authenticated-orcid":false,"given":"Mohamed Abdelmohsen","family":"Alnemr","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology\u2013Head and Neck Surgery Department, Faculty of Medicine, Zagazig University, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amal Saed","family":"Quriba","sequence":"additional","affiliation":[{"name":"Phoniatric Unit, Otorhinolaryngology\u2013Head and Neck Surgery Department, Faculty of Medicine, Zagazig University, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elham","family":"Hassan","sequence":"additional","affiliation":[{"name":"Phoniatric Unit, Otorhinolaryngology\u2013Head and Neck Surgery Department, Faculty of Medicine, Zagazig University, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed Yassin","family":"Bahgat","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology\u2013Head and Neck Surgery Department, Faculty of Medicine, Alexandria University, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,8,18]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.XPS.0000452062.30697.91"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1159\/000343999"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1597\/03-148.1"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181811a83"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2018.09.015"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2012.01.020"},{"issue":"96","key":"e_1_3_2_8_1","first-page":"27","article-title":"Patterns and grade of velopharyngeal closure in candidates for adenotonsillectomy","volume":"30","author":"El-Anwar M","year":"2018","unstructured":"El-Anwar M, El Sheikh E, El-Nakeb N. 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