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The tasks were finger opposition, syllable repetition, sustained phonation, and repetitive lip closure.
After the lip closure, the medial edge of the cheek flap was approximated with the lateral edge of the nasal flap.
On the prolabium, the dimension of the philtral flap was 4 mm wide at its superior aspect and 5 mm wide at its inferior aspect, which prepared wider than that of the bilateral cleft lip, for tension-free lip closure.
Interventions: Videoflurorscopy to measure a scale of 11 variables: lip closure score, bolus formation, residue in oral cavity, oral transit time, triggering of pharyngeal swallow, laryngeal elevation and epiglottic closure, nasal penetration, residue in valleculae, coating of pharyngeal wall after swallow, and pharyngeal transit time.
Lip closure was verified during the PNIF test by inspection through the transparent anaesthesia mask.
We used a surrogate marker, lip closure, to determine if expression was neutral in an objective manner; lip closure was associated with differences in FSD and may account for part of the increase in FSD in those with intellectual disability.
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The lip seal and posterior mouth closure are actively supported by muscle contraction, and the tongue is mobile.
More complex is the case of markers located on the lips, which are occluded during protrusion or mouth closure (Figure3): markers can disappear or be erroneously matched with the wrong side (lower or upper) of the lip.
Mean age and SDs of lip surgery, closure of the soft palate, and closure of the hard palate with alveolar bone grafting are given in Table 1.
If the greater part of the upper incisors was exposed or lip strain was evident upon closure, lip coverage was rated as inadequate [ 17].
These infants visited the clinic for an extra checkup at the age of 6 weeks as well as before and after lip repair and soft palate closure.
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