Pharyngeal flap for a poorly repaired cleft palate with posterior palatal defect
| Autor: | Mosaad Abdel-Aziz, Abdel-Rahman El-Tahan, Ahmed Kamel, Asmaa M. Abdelhameed, Hassan H. Ghandour, Ahmed Sanyelbhaa Talaat |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Velopharyngeal Insufficiency Voice Quality medicine.medical_treatment Surgical Flaps 03 medical and health sciences 0302 clinical medicine Velopharyngeal insufficiency Postoperative Complications 030225 pediatrics Medicine Effective treatment Humans 030223 otorhinolaryngology Child Pharyngeal flap Wound Healing business.industry General Medicine Plastic Surgery Procedures Surgery Cleft Palate Palatoplasty Treatment Outcome Otorhinolaryngology Child Preschool Pediatrics Perinatology and Child Health Pharynx Female Nasalance business |
| Zdroj: | International journal of pediatric otorhinolaryngology. 133 |
| ISSN: | 1872-8464 |
| Popis: | Objective Posterior palatal defect after cleft palate (CP) repair is not a rare problem, it may cause velopharyngeal insufficiency (VPI). The aim of this study was to assess the effectiveness of a superiorly-based pharyngeal flap (PF) with modification of its end to accommodate the defect in treatment of post-palatoplasty VPI. Methods Thirteen children with VPI due to posterior palatal defect after CP repair were included in this study. PF was used in treatment of all patients, the lower end of the flap was fashioned in a V-shape to accustom the shape of the defect with peeling of its overlying mucosa to enhance wound healing. The PF was inserted deeply into a tunnel created within the defect between the oral and nasal layers of the palate. Pre- and postoperative evaluation using auditory perceptual assessment (APA), nasometric assessment and velopharyngoscopy were performed. Results Significant improvement of APA and nasalance score for both oral and nasal sentences was achieved. Also, velopharyngoscopy showed complete velopharyngeal closure in all patients postoperatively. Conclusion A modified PF is an effective treatment for VPI caused by posterior palatal defect that may be encountered after CP repair. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect