OBJECTIVE: To describe the use of a unilateral modification of the Moore pharyngoplasty in the treatment of unilateral or asymmetric @entity1739 ( @entity1739 ) and analyze the results in a consecutive series of @entity1 operated on by a single surgeon. DESIGN: Blind assessment of randomized speech and nasendoscopy recordings. SETTING: A two-site tertiary referral cleft unit. @entity1 : Eighteen consecutive @entity1 with asymmetrical or unilateral @entity1739 of varying etiology. INTERVENTIONS: A unilateral Moore pharyngoplasty was performed in all @entity1 . Three @entity1 underwent radical dissection and retropositioning of the velar muscles at the same time as the unilateral Moore pharyngoplasty. MAIN OUTCOME MEASURES: Pre- and postoperative nasality and nasal airflow using the CAPS score, assessment of nasendoscopy recordings, and the rate of further surgery. RESULTS: There was a significant improvement in @entity2422 (p =.014). There was a highly significant decrease in the size of the velopharyngeal gap on the side on which the Moore pharyngoplasty was performed (p =.004) as well as a highly significant decrease in the total gap size (p =.003). The Moore flap was effective in obliterating the lateral pharyngeal recess in 11 of 12 @entity1 (p =.004). Three @entity1 required further velopharyngeal surgery. CONCLUSIONS: In appropriately selected @entity1 , a unilateral Moore pharyngoplasty is a safe and effective treatment for unilateral or asymmetric @entity1739 . If indicated, a radical dissection and retropositioning of the velar muscles may be combined with a Moore pharyngoplasty.

Unilateral Moore pharyngoplasty in the treatment of unilateral or asymmetric XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity1739 :: ('MESH:D014681', 'Disease') :: ['VPI', 'velopharyngeal incompetence'] @entity2422 :: ('MESH:C537724', 'Disease') :: ['hypernasality']
@entity1739 :: (MESH:D014681,Disease) :: ['velopharyngeal incompetence']
