الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
VPI was reported to be one of the drawbacks following CP repair which could be affected by different variables including the previous surgical procedures, the surgeon skills and preference, and the type of the cleft.
Different surgical techniques were reported in the literature to correct VPI including palatal surgeries and pharyngeal surgeries, which depend on the surgeon skills and preference, where OSA was reported to accompany some of these techniques as the pharyngeal flaps.
Our current study aimed to assess the levator muscles reconstruction technique accompanied with BMMF/s for palatal lengthening in VPI cases.
Levator muscle reconstruction was reported in the literature to be one of the effective methods used to treat VPI cases, where it was adopted by many authors. BMMFs technique was also reported to be an effective method for palatal lengthening in VPI cases.
Our current study showed a significant improvement in all the parameters used to assess the used technique regarding the nasality, intelligibility, pharyngeal gap closure, palatal length, and velar mobility, which is in agreement with almost all the literature which mentioned the same technique.
Our current study concluded that the LVP muscle reconstruction accompanied with BMMF technique is a safe, effective and easy to learn technique, which have a positive effective impact on the VPI treatment even with a slight palatal mobility, and it should be accompanied with immediate speech therapy to achieve the best results.
Our study recommended the use of the LVP muscle reconstruction with BMMF in short, heavily scared palates with tethered muscles, that it allows the scar release, and better muscle mobility in a more posterior position, so close the pharyngeal gap in order to allow better speech intelligibility and decrease in nasality. Besides; best results could be achieved by long follow-up, long speech therapy period and using larger sample size with older age.