Title: An option for the speech problem with Velopharyngeal incompetency: Palatal bone distraction osteogenesis
Objective: Palatal distraction involves a palatal bone osteotomy in the form of a square “horseshoe”, which leaves the palatal nerve and vascular bundle intact. A commercially available intraoral distraction osteogenesis apparatus is used.
Discussion: During the distraction procedure the distal bone segment is repositioned posteriorly, therefore lengthening the bony palate and as such moving the soft palate posteriorly. A Stickler Syndrome patient with a surgically repaired cleft palate was referred to Facial Cleft Deformity Clinic, IAOMS Training Fellowship Centre (University of Pretoria) after he received previously repeated velopharyngeal flaps and still had a speech problem.
Speech improves with this procedure and is assessed by the communication pathologist and compared with the fluorographic examination.