Outcomes and Predictive Factors of Furlow Palatoplasty

Autor:	Christopher Wooten, Derrick Sowder, Britni Jacobs, Wei Zheng, Jennifer C. Muckala, Steven Goudy
Rok vydání:	2011
Předmět:	Retrospective review medicine.medical_specialty business.industry Clinical algorithm Surgery Velopharyngeal insufficiency Otorhinolaryngology Furlow palatoplasty Secondary surgery medicine Submucous cleft business Pharyngeal flap
Zdroj:	Otolaryngology–Head and Neck Surgery. 145
ISSN:	1097-6817 0194-5998
Popis:	Objective: 1) Describe patients with submucous cleft palates (SMCP) and velopharyngeal insufficiency (VPI) treated with furlow palatoplasty who later required subsequent surgery due to persistent VPI. 2) Identify risk factors predictive of revision surgery in SMCP patients in order to develop a clinical algorithm to apriori determine the most efficacious primary surgery based on preoperative evaluation.Method: A retrospective review of 14 patients with SMCP undergoing furlow palatoplasty to correct VPI. Data reviewed included need for secondary surgery, syndrome diagnosis, velopharyngeal closure, and preoperative speech evaluations.Results: A series of 14 patients having furlow palatoplasty between ages 3 and 16 (average age of 4.9 years) was identified. Three of these patients (21.4 %) required secondary correction of VPI via superiorly based pharyngeal flap an average of 2.3 years following the initial operation. There was no association between age at primary surgery or syndromic diagnosis and persiste...
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::efd3595843e28dac92216594c147532c https://doi.org/10.1177/0194599811415823a347 Zobrazit plný text záznamu Plný text