Critical Review: Effectiveness of Sphincter Pharyngoplasty Compared to Pharyngeal Flap Surgery in Reducing Hypernasality in Individuals with Velopharyngeal Insufficiency
نویسنده
چکیده
This critical review examines several studies to determine the effectiveness of sphincter pharyngoplasty (SP) compared to pharyngeal flap surgery (PF) in reducing hypernasality in individuals with velopharyngeal insufficiency (VPI). Overall, research indicates preliminary evidence that both surgeries produce similar results in reducing hypernasality. However, some questions arose as to the strength of the research designs. Additionally, further research is recommended in a variety of areas.
منابع مشابه
Posterior pharyngeal flap and sphincter pharyngoplasty: the state of the art.
Surgical management of velopharyngeal insufficiency by attachment of posterior pharyngeal flap or construction of sphincter pharyngoplasty is reviewed. Posterior pharyngeal flap surgery is well established, with a long history dating back to the 19th century. Flaps have been based superiorly, inferiorly, or laterally. There have been reports of airway obstruction and obstructive sleep apnea ass...
متن کاملOutcomes of combined Furlow palatoplasty and sphincter pharyngoplasty for velopharyngeal insufficiency.
OBJECTIVE To compare surgical outcomes between pharyngeal flap, sphincter pharyngoplasty, and combined Furlow palatoplasty and sphincter pharyngoplasty in the management of pediatric velopharyngeal insufficiency. STUDY DESIGN Case series with chart review. SETTING Tertiary care pediatric hospital. SUBJECTS AND METHODS After exclusion of children with velocardiofacial syndrome, 96 patients...
متن کاملObstructive Sleep Apnea Syndrome in Children with 22q11.2 Deletion Syndrome after Operative Intervention for Velopharyngeal Insufficiency
INTRODUCTION Surgical treatment of velopharyngeal insufficiency (VPI) in 22q11.2 deletion syndrome is often warranted. In this patient population, VPI is characterized by poor palatal elevation and muscular hypotonia with an intact palate. We hypothesize that 22q11.2 deletion patients are at greater risk of obstructive sleep apnea (OSA) after surgical correction of VPI, due, in part, to their f...
متن کاملProspective evaluation of the outcome of velopharyngeal insufficiency therapy after simultaneous double z-plasty and sphincter pharyngoplasty.
OBJECTIVE One of the main goals in the management of cleft palate is to achieve a good quality of speech. The aim of the prospective study was to evaluate the effectiveness of therapy in patients with velopharyngeal insufficiency treated by simultaneously performed Furlow and Orticochea operations. PATIENTS AND METHODS From May 2007 to May 2008 we treated 14 consecutive patients (6 males and ...
متن کاملComparative study among cleft patients with velopharyngeal insufficiency treated with speech therapy and pharyngoplasty
Background: Inadequacy of speech and voice due to velopharyngeal insufficiency is a major stigma for cleft patients. Therefore, the study of this clinical condition is essential to improve the development and social relations of children with this ailment. This study aimed to assess alterations in the speech, velopharyngeal sphincter, and larynx of patients with cleft palate and cleft lip and p...
متن کامل