{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:35:08Z","timestamp":1777523708004,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T00:00:00Z","timestamp":1711584000000},"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":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>To design the technique of \u2018Suspension Palatoplasty\u2019 for Velopharyngeal Insufficiency (VPI) post Cleft Palate (CP) based on optimal spatial positioning of palate at the time of VPI correction, by using a non-obstructive, high, midline pharyngeal flap for predictable velopharyngeal closure and normal speech.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>To evaluate the results of CP patients with VPI operated using the technique of \u2018Suspension palatoplasty\u2019.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>An ambi-spective longitudinal clinical study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Comprehensive cleft care clinic in a private trust hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients, Participants<\/jats:title>\n                    <jats:p>Patients operated using the \u2018Suspension Palatoplasty\u2019 technique for VPI post CP repair between 2014 and 2018 with a minimum follow-up period of 5 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>\u2018Suspension Palatoplasty\u2019 - Double Opposing Z (DOZ) plasty with palatal myoplasty is used to revise soft palate and a narrow superiorly based pharyngeal flap is used to suspend it for a dynamic velopharyngeal closure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measure<\/jats:title>\n                    <jats:p>Speech outcome and surgical complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>70 out of 119 studied were found to have normal speech (59%), and another 25 patients (21%) had acceptable speech. Thus 95 out of 119 patients (80%) had normal or near-normal speech and did not require any further speech therapy or surgeries. 12 patients had snoring without difficulty in breathing. One patient had symptoms suggestive of obstructive sleep apnea. Younger patients had a higher percentage of normal speech outcomes. Many of our adult patients also attained normal speech.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\u2018Suspension Palatoplasty\u2019 aims to achieve normal speech with little effort. It has minimal side effects. The author has performed 403 cases to date.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656241228112","type":"journal-article","created":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T07:34:07Z","timestamp":1711611247000},"page":"870-881","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["\u2018Suspension Palatoplasty\u2019 \u2013 A method of surgical correction of VPI post Cleft Palate repair"],"prefix":"10.1177","volume":"62","author":[{"given":"Mukunda Reddy","family":"Damalachervu","sequence":"first","affiliation":[{"name":"Project Director, Basavatarakam Smile Train Centre, Senior consultant plastic surgeon, Basavatarakam Indo-American Cancer Hospital &amp; Research Institute, Hyderabad, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3595-2389","authenticated-orcid":false,"given":"Rajesh","family":"Yellinedi","sequence":"additional","affiliation":[{"name":"Consultant plastic surgeon, Basavatarakam Indo-American Cancer Hospital &amp; Research Institute, Hyderabad, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Dharanipriya","sequence":"additional","affiliation":[{"name":"Cleft fellow, Basavatarakam Smile Train Centre, Basavatarakam Indo-American Cancer Hospital &amp; Research Institute, Hyderabad, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Lalasa Mary","sequence":"additional","affiliation":[{"name":"Consultant Speech and Language Pathologist, Basavatarakam Smile Train Centre, Basavatarakam Indo-American Cancer Hospital &amp; Research Institute, Hyderabad, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rambabu","family":"Nuvvula","sequence":"additional","affiliation":[{"name":"Consultant plastic surgeon, Basavatarakam Indo-American Cancer Hospital &amp; Research Institute, Hyderabad, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,3,28]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2021.102707"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0040-1709429"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-1762905"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2019.01.010"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1597\/06-086.1"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.4103\/2348-2125.137894"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.4103\/0970-0358.113716"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(57)90075-2"},{"key":"e_1_3_3_10_2","first-page":"333","article-title":"Ueber die Beseitigung der naseln- den Sprache bei angeborenen Splaten des harten und weichen Gaumens (Gaumensegel-Schlund- nacht und Ruccklagerung des Gaumensegels)","volume":"6","author":"Passavant G","year":"1865","unstructured":"Passavant G. 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