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June 8, 1964

Muscle Transplants Aid Cleft Palate Repair

JAMA. 1964;188(10):44-45. doi:10.1001/jama.1964.03060360116048

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Transplantationtions of the temporal or masseter muscles to the soft palate in an effort to diminish nasality and improve "cleft-palate" speech was described at the annual meeting of the American Association of Plastic Surgeons in Chicago in May.

The transplant, like other surgical procedures which have been devised to improve this condition, is aimed at diminishing the palatopharyngeal space so that the direction of speech flow is through the mouth instead of the nose.

Clifford L. Kiehn, MD, and coauthors John D. DesPrez, MD, Arthur Tucker, MD, and Marguerrite Malone, MA, all of Western Reserve University, Cleveland, said that the new transplant technique is designed to add dynamic mobility to the incompetent soft palate resulting from either cleft palate or paralysis.

Other surgical methods, which have proved valuable in improving the speech of some cleft-palate patients, produce a largely static effect on the soft palate, holding it immobile and interfering

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