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Home Books K.J. Lee’s Essential Otolaryngology: Head and Neck Surgery, 12e

Chapter 52: Cleft Lip and Palate

Chapter 52. Cleft Lip and Palate

In the Millard rotation-advancement technique to repair a unilateral cleft lip repair, which portion of the lip is rotated?

A. The cleft side

B. The noncleft side

C. Both the cleft and the noncleft sides

D. Neither the cleft nor the noncleft side

All of the following differences are noted in a child with a unilateral cleft lip except

A. The lower lateral cartilage on the cleft side is displaced inferiorly and posteriorly

B. The orbicularis oris muscle forms a complete sphincter

C. The caudal nasal septum is deflected to the noncleft side

D. The nasal dome on the cleft side is lower

The following are key characteristics of a submucous cleft palate except

A. Zona pellucida

B. Bifid uvula

C. Notch in midline of the posterior hard palate

D. Intact levator muscular sling

A 5-year-old boy with previous cleft palate repair is diagnosed with velopharyngeal insufficiency. Nasoendoscopy in clinic reveals a closure in the central portion of the velopharyngeal mechanism with residual lateral openings. Which surgical technique would be most appropriate to address this issue?

A. Sphincter pharyngoplasty

B. Pharyngeal flap

C. Radical intravelar veloplasty

D. Double opposing Z-plasty

All of the muscles of the soft palate are innervated by CN X except

A. Palatopharyngeus

B. Palatoglossus

C. Tensor veli palatini

D. Levator veli palatini

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