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Howard W. Smith, MD, DMD; Keat-Jin Lee, MD

Arch Otolaryngol. 1976;102(2):83-86.

Abstract
• We describe a new technique for extensive retropositioning of the soft palate for the treatment of velopharyngeal insufficiency. This technique is identified as a nasopharyngeal pushback, and has been used repeatedly in conjunction with both a Cronin nasal flap and a superiorly based pharyngeal flap when maximum retropositioning was needed. This procedure has been used for over ten years, each time obtaining an additional pushback distance equal to or greater than the distance achieved by freeing the soft palate from the posterior border of the hard palate.

(Arch Otolaryngol 102:83-86, 1976)

Author Affiliations
From the Section of Otolaryngology, Department of Surgery, Yale New Haven Medical Center and the Yale University School of Medicine, and the Section of Otolaryngology and Facial Plastic Surgery, Hospital of St Raphael, New Haven, Conn.

Footnotes
Accepted for publication Aug 20, 1975.

Reprint requests to the New Haven Cleft Palate Center, 98 York St, New Haven, CT 06511 (Dr Smith).

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