Which muscles are typically reoriented during cleft palate repair?

Levator veli palatini-within the normal soft palate (velum), the levator veli palatini muscle forms a dynamic sling that elevates the velum toward the posterior pharyngeal wall during the production of certain sounds. in children born with cleft palate, there is a division of the musculature of the velum into separate muscle bellies with abnormal insertions along the posterior edge of the hard palate. the goals of cleft palate repair during infancy are twofold. the first goal is to establish a complete, watertight closure of the secondary palate for separation of the oral and nasal cavities. the second goal is to reorient and repair the levator musculature to allow for normal speech formation. the muscularis uvulae is also repaired in cleft palate repair. however, this muscle is typically not reoriented. instead, it is simply approximated in the midline.