Treatment of velopharyngeal insufficiency by autologous fat injection

Autor: Judith Hohlfeld, Igor Leuchter, Philippe Pasche, Valérie Schweizer
Rok vydání: 2009
Předmět:
Adult
Male
medicine.medical_specialty
Sound Spectrography
Velopharyngeal Insufficiency
Adolescent
Voice Quality
Nasometry
Young Adult
Velopharyngeal insufficiency
Hematoma
Postoperative Complications
Voice Disorders/etiology/surgery
Phonation
Voice Quality/physiology
otorhinolaryngologic diseases
DiGeorge Syndrome
Medicine
Humans
Augmentation pharyngoplasty
Rhinopharyngeal
Child
Voice Disorders
Soft palate
business.industry
Speech Intelligibility
DiGeorge Syndrome/surgery
General Medicine
Middle Aged
Hypernasal speech
medicine.disease
Cleft Palate/surgery
Adipose Tissue/transplantation
Female
Follow-Up Studies
Phonation/physiology
Postoperative Complications/etiology
Velopharyngeal Insufficiency/etiology
Velopharyngeal Insufficiency/surgery
Voice Disorders/etiology
Voice Disorders/surgery
ddc:616.8
Surgery
Velopharyngeal Insufficiency/etiology/*surgery
Cleft Palate
medicine.anatomical_structure
ddc: 610
Otorhinolaryngology
Adipose Tissue
Adipose Tissue/*transplantation
Nasalance
business
Zdroj: European Archives of Oto-rhino-laryngology, vol. 267, no. 6, pp. 977-983
European Archives of Oto-Rhino-Laryngology, Vol. 267, No 6 (2010) pp. 977-983
Dreiländertagung D-A-CH, 24. Wissenschaftliche Jahrestagung der Deutschen Gesellschaft für Phoniatrie und Pädaudiologie e.V.; 20070928-20070930; Innsbruck, Österreich; DOC07dgppP10 /20070828/
ISSN: 1434-4726
0937-4477
Popis: Velopharyngeal insufficiency (VPI) is a structural or functional trouble, which causes hypernasal speech. Velopharyngeal flaps, speech therapy and augmentation pharyngoplasty, using different implants, have all been used to address this trouble. We hereby present our results following rhinopharyngeal autologous fat injection in 18 patients with mild velopharyngeal insufficiency (12 soft palate clefts, 4 functional VPI, 2 myopathy). 28 injections were carried out between 2004 and 2007. The degree of hypernasal speech was evaluated pre- and postoperatively by a speech therapist and an ENT specialist and quantified by an acoustic nasometry (Kay Elemetrics). All patients were exhaustively treated with preoperative speech therapy (average, 8 years). The mean value of the nasalance score was 37% preoperatively and 23% postoperatively (p = 0.015). The hypernasality was reduced postoperatively in all patients (1-3 degrees of the Borel-Maisonny score). There were no major complications, two minor complications (one hematoma, one cervical pain). The autologous fat injection is a simple, safe, minimally invasive procedure. It proves to be efficient in cases of mild velopharyngeal insufficiency or after a suboptimal velopharyngoplasty.
Databáze: OpenAIRE
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