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Magnetic resonance imaging of the levator veli palatini muscle before and after primary palatoplasty.

Abstract：

OBJECTIVE:To explore the application of magnetic resonance imaging (MRI) in the evaluation of patients with cleft palate before and after primary palatoplasty with particular attention focused on the levator veli palatini muscle. DESIGN:Prospective study using MRIs of subjects before and after primary cleft palate surgery. SETTING:Hospital and university based. PATIENTS:One female infant with normal anatomy. Three male and four female infants with cleft palate of varying severity. INTERVENTION:Furlow double-opposing Z-plasty and V-Y palatoplasty. MAIN OUTCOME MEASURES:Magnetic resonance images. RESULTS:It was found that the levator veli palatini muscle can be imaged before and after palatal surgery in infants using MRI. The muscle may have sufficient volume, proportionate to a normal infant or adult, in infants born with cleft palate. If retrodisplaced properly, the muscle is likely to be steeper (more vertical) from its origin at the base of the skull to its insertion into the velum following palatoplasty, thus providing a more favorable angle for elevating the velum. Following palatal surgery, the levator muscle mass may not be as cohesive across the velar midline, compared with normal musculature. CONCLUSION:MRI is a viable imaging modality for the evaluation of the anatomy of the levator veli palatini muscle before and after primary palatoplasty in infants born with cleft palate.

journal_name

Cleft Palate Craniofac J

journal_title

The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

authors

Kuehn DP,Ettema SL,Goldwasser MS,Barkmeier JC

doi

10.1597/03-060.1

keywords:

subject

Has Abstract

pub_date

2004-11-01 00:00:00

pages

584-92

issue

6

eissn

1055-6656

issn

1545-1569

pii

03-060

journal_volume

41

pub_type

临床试验,杂志文章

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