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Management of Persistent Hypernasality After Pharyngeal Flap by Revision Palatoplasty With Use of MRI to Aid Surgical Decision Making.
Cleft Palate Craniofac J
December 2024
Phoenix Children's Center for Cleft and Craniofacial, Phoenix Children's Hospital a Division of Plastic Surgery, Phoenix, AZ, USA.
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.
Does speech improve after delayed palatal closure in Filipino adults? Effects of combined palatal repair, buccinator flaps and suspension pharyngeal flap.
Int J Lang Commun Disord
December 2024
Tebow Cure Hospital, Davao City, Philippines.
Background: Adults presenting with unrepaired cleft palate are not a rare occurrence in middle-income countries. However, many surgeons are hesitant to operate on these individuals because of the challenges in repairing the wide adult cleft palate, as well as concerns regarding any improvement in speech in older patients. Unfortunately, the literature on the effect of delayed palatal closure is scarce.
View Article and Find Full Text PDFManagement of Persistent Hypernasality After Pharyngeal Flap: A Novel V-to-Y Revision Procedure to Tighten the Lateral Ports.
Cleft Palate Craniofac J
December 2024
Pediatric Plastic Surgery, John R. Oishei Children's Hospital, Buffalo, NY, USA.
Velopharyngeal insufficiency (VPI) is common in patients with a repaired cleft palate. 18% to 20% of patients who undergo superiorly based pharyngeal flap for VPI may require a revision procedure due to persistent hypernasality. One solution to persistent VPI is flap revision, but there is a paucity of revision techniques described in the literature.
View Article and Find Full Text PDFDifferential Diagnosis of a Pharyngeal Fricative and Therapeutic Monitoring of Velopharyngeal Function Using Magnetic Resonance Imaging.
Am J Speech Lang Pathol
December 2024
Division of Plastic Surgery, University of Virginia Health System, Charlottesville.
Purpose: Speech disorders associated with velopharyngeal dysfunction (VPD) are common. Some require surgical management, while others are responsive to speech therapy. This is related to whether the speech error is obligatory (passive) or compensatory (active).
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