Velopharyngeal insufficiency: an update on diagnostic and surgical techniques

@article{Hill2001VelopharyngealIA,
  title={Velopharyngeal insufficiency: an update on diagnostic and surgical techniques},
  author={Jimmy Scott Hill},
  journal={Current Opinion in Otolaryngology \& Head and Neck Surgery},
  year={2001},
  volume={9},
  pages={365-368}
}
  • J. S. Hill
  • Published 1 December 2001
  • Medicine
  • Current Opinion in Otolaryngology & Head and Neck Surgery
Velopharyngeal insufficiency is defined as an inability to close the velopharyngeal sphincter resulting in inadequate separation of the oral cavity from the nasal cavity during speech. It is associated with a number of congenital and acquired abnormalities. A multidisciplinary approach that includes a surgeon and speech therapist is desirable. Evaluation of patients for velopharyngeal insufficiency requires a thorough history and examination by the physician. Surgical intervention is frequently… 
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Background Citations
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3 Citations

Unilateral Buccinator Flap for Lengthening of Short Palate

TLDR
Unilateral BMF is reliable, promising, and safe flap for lengthening of short palate and it can lengthen the palate up to 19 mm and speech improvement will achieve in 70% to 86% patients.

Acquired Velopharyngeal Dysfunction: Survey, Literature Review, and Clinical Recommendations.

TLDR
Clinical uncertainty among speech-language pathologists surveyed and the paucity of published clinical guidelines for assessing individuals with AVPD indicate the need for additional clinical research for this disorder.

Cleft Lip and Palate in Anbar Province

TLDR
Orofacial clefts are birth defects where the mouth or roof of the mouth does not grow together properly during development and are among the most common congenital anomalies at birth.

References

SHOWING 1-10 OF 22 REFERENCES

Posterior wall augmentation for treatment of velopharyngeal insufficiency

Incidence and sequelae of nocturnal respiratory obstruction following posterior pharyngeal flap operation.

TLDR
NRO is not an uncommon finding in PPF patients, but NRO does not necessarily imply the presence of obstructive sleep apnea, and the consequences of persistent NRO over the long term deserve further study.

Does MRI contribute to the investigation of palatal function?

TLDR
MRI has a potential role in investigation of velopharyngeal incompetence and planning its surgical repair and requires costly equipment and patient cooperation, which limits its use in young patients.

Salvaging the failed pharyngoplasty: intervention outcome.

  • P. WittT. MyckatynJ. Marsh
  • Medicine
    The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
  • 1998
TLDR
Rates of primary pharyngeal flap failure are roughly equivalent to rates of primary sphincter pharyngoplasty failure, and revisions can be salvaged with revisional surgery, which can provide a velopharyngeAl mechanism capable of complete closure.

Radiographic and Aerodynamic Measures of Velopharyngeal Anatomy and Function following Furlow Z‐Plasty

TLDR
There may be important anatomic features (such as pharyngeal depth/velar length ratio) that can be evaluated before surgery to predict which patients may be most likely to benefit from Furlow Z‐plasty as a form of treatment for velopharyngeAl insufficiency.

Sphincter pharyngoplasty: Speech outcome and complications

TLDR
Sphincter pharyngoplasty has wide application in the management of children with VPI, including those with VCFS, and a modification of the procedure is described to minimize the risk of postoperative airway obstruction and hyponasality, both regarded as airway complications of sphincterpharyngplasty.

A Fiberscopic Analysis of Velopharyngeal Movement before and after Primary Palatoplasty in Cleft Palate Infants

TLDR
It is indicated the probability that velopharyngeal closure mechanism in repaired cleft palate infants is able to be predicted by envelopharynGEal movement behavior before primary palatoplasty.

Refinement of velopharyngoplasty in patients with cleft palate by covering the pharyngeal flap with nasal mucosa from the velum.

TLDR
Covering the exposed muscular layer of the pharyngeal flap with nasal mucosa of the velum is an important modification of velopharyngoplasty for the improvement of speech quality.

Results with sphincter pharyngoplasty and pharyngeal flap.

Comparison between two types of pharyngeal flap with regard to configuration at rest and function and speech outcome.

TLDR
TS flaps were not wider than MS flaps, and functional plasticity of the TS flap appeared essential for elimination of velopharyngeal insufficiency.