Unexpected Outcomes: Late Fat Hypertrophy and Obstructive Sleep Apnea Following Fat Grafting to the Posterior Pharynx for Velopharyngeal Insufficiency.

Autor:	Prescher H; Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor, MI, USA., Svientek SR; Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor, MI, USA., Habeshy MY; Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor, MI, USA., Kasten SJ; Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor, MI, USA., Buchman SR; Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor, MI, USA., Vercler CJ; Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor, MI, USA.
Jazyk:	angličtina
Zdroj:	The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association [Cleft Palate Craniofac J] 2024 Dec 18, pp. 10556656241307422. Date of Electronic Publication: 2024 Dec 18.
DOI:	10.1177/10556656241307422
Abstrakt:	Autologous fat grafting for posterior pharyngeal wall augmentation has been described as a safe and effective treatment option for a subset of patients with mild to moderate velopharyngeal insufficiency (VPI). Reported complications including hyponasality and obstructive sleep apnea (OSA) are exceedingly rare. We describe the development of severe fat graft hypertrophy and subsequent OSA in a series of 3 patients several years after undergoing autologous fat grafting for VPI. All patients required revisional surgery for the removal of the engrafted fat. Although rare, OSA can result from hypertrophy of autologous fat grafted into the posterior pharyngeal wall for treatment of VPI. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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