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Recent advances in surgical pharyngeal modification procedures for the treatment of velopharyngeal insufficiency in patients with cleft palate.
Arch Facial Plast Surg 2012 Mar-Apr; 14(2):85-8AF

Abstract

Background To review recent advances in pharyngeal modification procedures for the treatment of velopharyngeal insufficiency (VPI) in patients with cleft palate after primary repair. In addition, we discuss some of the advantages and disadvantages of the various pharyngoplasty techniques, as well as their safety and efficacy. Methods A review of frequently used pharyngeal modification techniques in correction of VPI was performed, and their advantages and disadvantages are outlined. Several techniques in pharyngoplasty most recently described in the literature are compared and contrasted. Results The goal of surgical pharyngeal modification procedures is to correct the abnormal failure of velopharyngeal closure. Multiple techniques used in VPI surgery have proven to be effective. They have similar adverse effect profiles, but what distinguishes them is likely their effectiveness in cases of severe VPI. Conclusions Velopharyngeal insufficiency is a problematic issue both for the patient and the treating surgeon. The negative effect of VPI on patients' quality of life has long been known, and over the years numerous techniques have been described to correct or improve this problem. Pharyngoplasty and pharyngeal flap or combination procedures are most effective in cases of severe VPI.

Authors+Show Affiliations

Department of Otolaryngology-Head and Neck Surgery, New York Eye and Ear Infirmary, 310 E 14th Street, New York, NY 10003, USA. m.saman@live.comNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

22431813

Citation

Saman, Masoud, and Sherard A. Tatum. "Recent Advances in Surgical Pharyngeal Modification Procedures for the Treatment of Velopharyngeal Insufficiency in Patients With Cleft Palate." Archives of Facial Plastic Surgery, vol. 14, no. 2, 2012, pp. 85-8.
Saman M, Tatum SA. Recent advances in surgical pharyngeal modification procedures for the treatment of velopharyngeal insufficiency in patients with cleft palate. Arch Facial Plast Surg. 2012;14(2):85-8.
Saman, M., & Tatum, S. A. (2012). Recent advances in surgical pharyngeal modification procedures for the treatment of velopharyngeal insufficiency in patients with cleft palate. Archives of Facial Plastic Surgery, 14(2), pp. 85-8. doi:10.1001/archfacial.2011.1394.
Saman M, Tatum SA. Recent Advances in Surgical Pharyngeal Modification Procedures for the Treatment of Velopharyngeal Insufficiency in Patients With Cleft Palate. Arch Facial Plast Surg. 2012;14(2):85-8. PubMed PMID: 22431813.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Recent advances in surgical pharyngeal modification procedures for the treatment of velopharyngeal insufficiency in patients with cleft palate. AU - Saman,Masoud, AU - Tatum,Sherard A,3rd PY - 2012/3/21/entrez PY - 2012/3/21/pubmed PY - 2012/7/24/medline SP - 85 EP - 8 JF - Archives of facial plastic surgery JO - Arch Facial Plast Surg VL - 14 IS - 2 N2 - Background To review recent advances in pharyngeal modification procedures for the treatment of velopharyngeal insufficiency (VPI) in patients with cleft palate after primary repair. In addition, we discuss some of the advantages and disadvantages of the various pharyngoplasty techniques, as well as their safety and efficacy. Methods A review of frequently used pharyngeal modification techniques in correction of VPI was performed, and their advantages and disadvantages are outlined. Several techniques in pharyngoplasty most recently described in the literature are compared and contrasted. Results The goal of surgical pharyngeal modification procedures is to correct the abnormal failure of velopharyngeal closure. Multiple techniques used in VPI surgery have proven to be effective. They have similar adverse effect profiles, but what distinguishes them is likely their effectiveness in cases of severe VPI. Conclusions Velopharyngeal insufficiency is a problematic issue both for the patient and the treating surgeon. The negative effect of VPI on patients' quality of life has long been known, and over the years numerous techniques have been described to correct or improve this problem. Pharyngoplasty and pharyngeal flap or combination procedures are most effective in cases of severe VPI. SN - 1538-3660 UR - https://www.unboundmedicine.com/medline/citation/22431813/Recent_advances_in_surgical_pharyngeal_modification_procedures_for_the_treatment_of_velopharyngeal_insufficiency_in_patients_with_cleft_palate_ L2 - https://jamanetwork.com/journals/jamafacialplasticsurgery/fullarticle/10.1001/archfacial.2011.1394 DB - PRIME DP - Unbound Medicine ER -