Surgical Treatment of Acquired Velopharyngeal Insufficiency in Adults With Dysphagia and Dysphonia

2022 ◽  
Author(s):  
Caroline A. Lynch ◽  
David W. Rule ◽  
Bernice Klaben ◽  
Liran Oren ◽  
Aaron D. Friedman ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Velopharyngeal Insufficiency

Speech Outcomes and Velopharyngeal Function After Surgical Treatment of Velopharyngeal Insufficiency in Individuals With Signs of Velocardiofacial Syndrome

2011 ◽  
Vol 22 (5) ◽  
pp. 1736-1742 ◽  
Author(s):  
Giovana Rinalde Brandão ◽  
José Alberto de Souza Freitas ◽  
Katia Flores Genaro ◽  
Renata Paciello Yamashita ◽  
Ana Paula Fukushiro ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Velocardiofacial Syndrome ◽  
Velopharyngeal Insufficiency ◽  
Velopharyngeal Function

Obstructive Sleep Apnea Secondary to Surgery for Velopharyngeal Insufficiency

1993 ◽  
Vol 30 (4) ◽  
pp. 387-390 ◽  
Author(s):  
Antonio Ysunza ◽  
Manuel Garcia-Velasco ◽  
Miguel Garcia-Garcia ◽  
Reyes Haro ◽  
Matilde Valencia
Keyword(s):  
Obstructive Sleep Apnea ◽  
Surgical Treatment ◽  
Sleep Apnea ◽  
Obstructive Sleep Apnea Syndrome ◽  
Sleep Apnea Syndrome ◽  
Velopharyngeal Insufficiency ◽  
Flap Surgery ◽  
Obstructive Sleep ◽  
Pharyngeal Flap ◽  
Apnea Syndrome

The files of 585 patients who had had pharyngeal flap surgery for the correction of velopharyngeal insufficiency were reviewed. Eighteen patients, ranging in age from 6 to 16 years, showed clinical symptoms of obstructive sleep apnea syndrome. All of these cases had a Polysomnographic evaluation and videonasopharyngoscopy. Fifteen cases met the criteria for the diagnosis of obstructive sleep apnea syndrome and eventually underwent surgical treatment. A modified uvulopalatopharyngoplasty was done in 14 of the 15 cases. One patient had a prominent uvula flipping into the port of a Jackson's type pharyngoplasty, so a partial resection of the uvula was performed. Surgical treatment was successful in 14 of 15 cases, including the case with the partial uvular resection. In one case, severe sleep apnea persisted after surgery and a complete section of the flap was performed to correct the obstruction. Sizeable tonsils were found in 13 out of 15 cases, whereas flap width appeared unrelated to obstruction. Preoperative assessment of tonsillar tissue is of vital importance before pharyngeal flap surgery.

Surgical treatment of neurogenic velopharyngeal insufficiency

1996 ◽  
Vol 54 (2) ◽  
pp. 244-245
Author(s):  
Yehuda Finkelstein ◽  
Ariela Nachmani ◽  
Dov Ophir
Keyword(s):  
Surgical Treatment ◽  
Velopharyngeal Insufficiency

scholarly journals Noncleft Velopharyngeal Insufficiency: Etiology and Need For Surgical Treatment

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Steven Goudy ◽  
Christopher Ingraham ◽  
John Canady
Keyword(s):  
Surgical Treatment ◽  
Velopharyngeal Insufficiency

scholarly journals Surgical Treatment of Velopharyngeal Insufficiency

2021 ◽  
Author(s):  
Nguyen Pham ◽  
Isabella Rodoni
Keyword(s):  
Surgical Treatment ◽  
Soft Palate ◽  
Recovery Process ◽  
Assessment Methods ◽  
Velopharyngeal Insufficiency ◽  
Patient Assessment ◽  
Pharyngeal Flap ◽  
Sphincter Pharyngoplasty ◽  
Nasal Emission ◽  
Nasal Regurgitation

Velopharyngeal insufficiency (VPI) is a condition where the soft palate and posterior oropharynx fail to close adequately, leading to complications such as abnormal speech, nasal regurgitation and nasal emission. Although there exist many approaches to treating VPI depending on the shape and severity of the insufficiency, this chapter describes the three most frequently used and well-researched techniques: the Furlow Palatoplasty (double-opposing Z-palatoplasty), the creation and placement of a pharyngeal flap, and a sphincter pharyngoplasty. This chapter contains an introduction to VPI causes and treatment, a description of patient assessment methods, step-by-step instructions for the different operative procedures, and the recovery process.

Surgical Treatment for Palatoglossal Arch Cicatrix and Velopharyngeal Insufficiency After Adenotonsillectomy

2019 ◽  
Vol 56 (9) ◽  
pp. 1253-1255
Author(s):  
Francesco Gargano ◽  
Jan C. Groblewski ◽  
Helena O. Taylor ◽  
Paul Austin ◽  
Stephen R. Sullivan
Keyword(s):  
Surgical Treatment ◽  
Cleft Palate ◽  
Velopharyngeal Insufficiency ◽  
Challenging Problem ◽  
Velopharyngeal Incompetence

Postadenotonsillectomy velopharyngeal incompetence/insufficiency/dysfunction (VPI) is an uncommon but potentially surgically challenging problem. We report a child without cleft palate who developed severe palatoglossal arch cicatrix and VPI after adenotonsillectomy, and describe bilateral palatoglossal arch z-plasty to restore palatal function and speech.

scholarly journals Surgical outcome of pharyngeal flap surgery and intravelar veloplasty on the velopharyngeal function

CoDAS ◽  
2013 ◽  
Vol 25 (5) ◽  
pp. 451-455 ◽  
Author(s):  
Daniela Aparecida Barbosa ◽  
Rafaeli Higa Scarmagnani ◽  
Ana Paula Fukushiro ◽  
Inge Elly Kiemle Trindade ◽  
Renata Paciello Yamashita
Keyword(s):  
Surgical Treatment ◽  
Surgical Outcome ◽  
Velopharyngeal Insufficiency ◽  
Cutoff Score ◽  
Flap Surgery ◽  
Orifice Area ◽  
Velopharyngeal Closure ◽  
Pharyngeal Flap ◽  
Velopharyngeal Function ◽  
Intravelar Veloplasty

PURPOSE: To investigate the postoperative outcomes of pharyngeal flap surgery (PF) and secondary palatoplasty with intravelar veloplasty (IV) in the velopharyngeal insufficiency management regarding nasalance scores and velopharyngeal area. METHODS: Seventy-eight patients with cleft palate±lips submitted to surgical treatment for velopharyngeal insufficiency, for 14 months on an average, were evaluated: 40 with PF and 38 with IV, of both genders, aged between 6 and 52 years old. Hypernasality was estimated by means of nasalance scores obtained by nasometry with a cutoff score of 27%. The measurement of velopharyngeal orifice area was provided by the pressure-flow technique and velopharyngeal closure was classified as: adequate (0.000-0.049 cm2), adequate/borderline (0.050-0.099 cm2), borderline/inadequate (0.100-0.199 cm2), and inadequate (≥0.200 cm2). RESULTS: Absence of hypernasality was observed in 70% of the cases and adequate velopharyngeal closure was observed in 80% of the cases, in the PF group. In the IV group, absence of hypernasality was observed in 34% and adequate velopharyngeal closure was observed in 50% of the patients. Statistically significant differences were obtained between the two techniques for both evaluations. CONCLUSION: PF was more efficient than the secondary palatoplasty with IV to reduce hypernasality and get adequate velopharyngeal closure.

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