Barbed suspension pharyngoplasty for treatment of lateral pharyngeal wall and palatal collapse in patients affected by OSAHS

SummaryA rare case of a schwannoma localized on the posterior pharyngeal wall is presented. It concerns a young man with an inflammatory ulcerated mass in the posterior wall of the pharynx causing severe difficulty in swallowing.Although schwannomas of the lateral pharyngeal wall are common, only one case located on the posterior wall has been described. The origin of these tumours at this particular site is thought to be the sympathetic nervous plexus of the posterior pharyngeal wall.In presenting our case, we comment on the origin of posterior pharyngeal wall schwannomas.

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Applications of Ultrasound in Speech Research

Journal of Speech and Hearing Research ◽

10.1044/jshr.1203.564 ◽

1969 ◽

Vol 12 (3) ◽

pp. 564-575 ◽

Cited By ~ 20

Author(s):

Charles A. Kelsey ◽

Fred D. Minifie ◽

Thomas J. Hixon

Keyword(s):

Head And Neck ◽

Speech Production ◽

Vocal Fold ◽

Diagnostic Ultrasound ◽

Direct Application ◽

Physiological Parameters ◽

Lateral Pharyngeal Wall ◽

Pharyngeal Wall ◽

Time Motion ◽

Speech Research

This paper describes techniques employing diagnostic ultrasound for monitoring various physiological parameters within the head and neck during speech production. The theoretical principles underlying these techniques are discussed together with basic instrumentation systems that have direct application to studies in speech physiology. Examples of A-scope measurement of pharyngeal wall depth, B-scans of the trachea, time-motion displays of the moving lateral pharyngeal wall, and Doppler monitoring of vocal-fold velocity are included. It is concluded that diagnostic ultrasound can be a useful tool in speech research.

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Treatment of Asymmetric Velopharyngeal Insufficiency with Skewed Pharyngeal Flap

The Cleft Palate-Craniofacial Journal ◽

10.1597/1545-1569_1994_031_0287_toaviw_2.3.co_2 ◽

1994 ◽

Vol 31 (4) ◽

pp. 287-294 ◽

Cited By ~ 8

Author(s):

Ravelo V. Argamaso ◽

Gerald J. Levandowski ◽

Karen J. Golding-Kushner ◽

Robert J. Shprintzen

Keyword(s):

Cleft Palate ◽

Cleft Lip ◽

Tumor Resection ◽

Velocardiofacial Syndrome ◽

Velopharyngeal Insufficiency ◽

Lateral Pharyngeal Wall ◽

Pharyngeal Wall ◽

Wall Movement ◽

Hypernasal Speech

Twenty-two patients, with hypernasal speech and asymmetric velopharyngeal insufficiency (VPI) identified preoperatively by multi-view videofluoroscopy and nasopharyngoscopy, were managed with superiorly based pharyngeal flaps skewed to the side with reduced lateral pharyngeal wall movement. Patient age ranged from 5 to 58 years. The etiology of the VPI included cleft palate with or without cleft lip, neurogenic VPI, velocardiofacial syndrome, tumor resection or latrogenic causes, submucous cleft palate, neurofibromatosis, and hemifacial microsomia. Follow-up, at 1 year and thereafter, showed resolution of VPI in all but two patients. An auxiliary flap to augment the primary flap was added on the side of diminished lateral pharyngeal wall motion which corrected the residual VPI. Three patients developed hyponasality. One was a child whose symptoms improved with time and growth. Two were adults, but the hyponasal resonance was mild and required no further Intervention. The advantage of skewing flaps is that at least one port functions adequately for ease in respiration and for drainage of secretions, thus reducing the risk of nasal obstruction. One open port also allows access for nasoendotracheal intubation should anesthetic be required for future operations.

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