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Effect of adenoid size on the post-adenoidectomy hypernasality in children with a normal palate.
Eur Arch Otorhinolaryngol
October 2023
Department of Otolaryngology (Unit of Phoniatrics), KasrAlainy Faculty of Medicine, Cairo University, Cairo, Egypt.
Purpose: Adenoidectomy, either alone or with tonsillectomy, is a common surgical procedure in the field of pediatric otorhinolaryngology. Resonance function may be altered postoperatively in the form of hypernasality, which is usually transient. This study aimed to investigate the effect of adenoid size on post-adenoidectomy hypernasality in children with a normal palate.
View Article and Find Full Text PDFFurlow Palatoplasty and Tonsillectomy for Treating Patients With Submucous Cleft Palate and Tonsillar Hypertrophy: A One-Stage Procedure.
J Craniofac Surg
January 2023
Department of Otolaryngology, Kasr Alainy Faculty of Medicine, Cairo University.
Background: Children with cleft palate are more liable to have obstructive sleep apnea than children with normal palate due to narrow airways. Tonsillar hypertrophy is a common cause of pediatric obstructive sleep apnea; hence, it is not surprising to be encountered during cleft palate repair. The aim of this study was to evaluate the feasibility of tonsillectomy and Furlow palatoplasty performed as a 1-stage operation in patients presenting with submucous cleft palate (SMCP) and tonsillar hypertrophy.
View Article and Find Full Text PDFSimultaneous Superiorly Based Pharyngeal Flap and Tonsillectomy: Evaluation of Speech and Pain Outcomes.
J Craniofac Surg
June 2021
University of Nebraska Medical Center, Division of Plastic and Reconstructive Surgery.
Controversy remains whether to perform a pharyngeal flap simultaneously with a tonsillectomy in patients with velopharyngeal insufficiency. The aim of this study is to revisit the speech outcomes and complications associated with the combined superiorly based pharyngeal flap and tonsillectomy procedure, while comparing pain outcomes. We hypothesize that the combined procedure will improve speech outcomes with minimal complications, but patients will experience more pain in the combined procedure.
View Article and Find Full Text PDFConcomitant adenotonsillectomy and cleft palate repair in one sitting.
Eur Arch Otorhinolaryngol
April 2020
Department of Otolaryngology, Faculty of Medicine, Cairo University, el-salam st., King Faisal, above el-baraka bank, Giza, Cairo, Egypt.
Purpose: When adenotonsillar hypertrophy (ATH) is encountered in children during cleft palate (CP) repair, the decision for adenotonsillectomy is challenging. The aim of this study was to evaluate the effectiveness of adenotonsillectomy done during CP repair for children with ATH on speech and breathing.
Methods: Nine children with CP and ATH underwent adenotonsillectomy prior to palatoplasty in same sitting.
Treatment of velopharyngeal insufficiency in a patient with a submucous cleft palate using a speech aid: the more treatment options, the better the treatment results.
Maxillofac Plast Reconstr Surg
December 2019
1Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University Dental Hospital, 20, Geonji-ro, Deokjin-gu, Jeonju-si, Jeollabuk-do Republic of Korea.
Background: The submucous cleft palate (SMCP) is a type of cleft palate that may result in velopharyngeal insufficiency (VPI). Palate muscles completely separate oral and nasal cavities by closing off the velopharynx during functional processes such as speech or swallow. Also, hypernasality may arise from anatomical or neurological abnormalities in these functions.
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