| Autor: |
Chee-Williams, Jessica L., Perry, Jamie L., Singh, Davinder J., Verhey, Erik M., Sitzman, Thomas J. |
| Zdroj: |
The Cleft Palate-Craniofacial Journal; 20240101, Issue: Preprints |
| Abstrakt: |
Objective Describe surgical decision making and outcomes in a series of patients with persistent VPI after pharyngeal flap placement that were all treated with revision palatoplasty.Design Retrospective, case series.Participants Five patients with nonsyndromic cleft palate and persistent hypernasality following a pharyngeal flap. On MRI, 3 patients presented with an incohesive levator veli palatini muscle, and 4 patients had a pharyngeal flap that was below the palatal plane.Interventions One patient underwent straight-line intravelar veloplasty (IVVP), 2 patients underwent pharyngeal flap take-down and IVVP, and 2 patients underwent pharyngeal flap take-down and palate lengthening with buccal myomucosal flaps.Main Outcome Measure Pre- and postoperative resonance.Results Four of five patients (80%) achieved normal resonance 12 months postoperation.Conclusions Revision palatoplasty may be an effective approach for treating patients with persistent hypernasality following a pharyngeal flap. MRI may aid in surgical selection based on patient-specific anatomical findings. |
| Databáze: |
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