{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:37:00Z","timestamp":1777523820664,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2024,7,21]],"date-time":"2024-07-21T00:00:00Z","timestamp":1721520000000},"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":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To highlight the possible surgical steps that could affect the neural supply of soft palate and velopharyngeal sphincter during Furlow palatoplasty and posteriorly-based myo-mucosal buccal flaps in patients with persistent velopharyngeal insufficiency after primary cleft palate repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Institution-based retrospective study<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Academic Medical Center<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>Non-syndromic patients with persistent hypernasality (after primary cleft palate repair) who had Furlow palatoplasty or posteriorly-based buccal myo-mucosal flaps and were followed up for at least 60 months after the secondary surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>All patients were examined using a fiberoptic endoscopy, the movement of components of the velopharyngeal sphincter: soft palate, and lateral pharyngeal walls were traced on the monitor and given a score from 0\u20134. The pattern of VPS closure was reported whether coronal, circular, or sagittal for each case.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Patients\u2019 characteristics, auditory perceptual assessment, the severity of hypernasality, intraoperative lengthening of the palate, and operative complications were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At postoperative (at least 60 months) evaluation of the patients statistically non-significant differences were reported when comparing the pre-versus post-operative auditory perceptual assessment following both procedures (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      value \u22650.05). A greater tendency towards improvement was noticed with BF but was non-significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The nerve supply of the palate could be jeopardized by many techniques of primary or secondary repair of the cleft palate leaving behind a deceiving intact but weak poor-functioning palate. All efforts should be made to provide more neural-preservation techniques in primary\/secondary repair of the cleft palate. Further wide-scale research is essential to have final clear conclusions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656241264644","type":"journal-article","created":{"date-parts":[[2024,7,21]],"date-time":"2024-07-21T10:14:00Z","timestamp":1721556840000},"page":"1598-1604","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Review of Current Techniques of Cleft Palate Repair Concerning Palatal Innervation: A Preliminary Assumption"],"prefix":"10.1177","volume":"62","author":[{"given":"Sherif M.","family":"Askar","sequence":"first","affiliation":[{"name":"Zagazig University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nasser","family":"labib alnakib","sequence":"additional","affiliation":[{"name":"Zagazig University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amal S.","family":"Quriba","sequence":"additional","affiliation":[{"name":"Zagazig University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4824-6734","authenticated-orcid":false,"given":"Ahmed Hassan","family":"Sweed","sequence":"additional","affiliation":[{"name":"Zagazig University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed","family":"el Shora","sequence":"additional","affiliation":[{"name":"Zagazig University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,7,21]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1597\/04-142r.1"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(85)90237-1"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0007-1226(51)80002-X"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0007-1226(57)80017-4"},{"key":"e_1_3_2_6_2","first-page":"1439","volume-title":"Gray\u2019s Anatomy","author":"Clemente CD","year":"1985","unstructured":"Clemente CD. 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