Velopharyngeal incompetence following maxillary advancement—A case report of recovery by superior based pharyngeal flap procedure

1989 ◽  
Vol 84 (6) ◽  
pp. 1020
Author(s):  
Kivonori Harii
Keyword(s):  
Case Report ◽  
Maxillary Advancement ◽  
Velopharyngeal Incompetence ◽  
Flap Procedure ◽  
Pharyngeal Flap

Prosthetic Management of Pharyngeal Flap–Related Snoring

2007 ◽  
Vol 44 (4) ◽  
pp. 418-420
Author(s):  
William N. Williams ◽  
Glenn T. Turner ◽  
Kelley Lewis ◽  
Maria Inês Pegoraro-Krook ◽  
Jeniffer C. R. Dutka-Souza
Keyword(s):  
Obstructive Sleep Apnea ◽  
Case Report ◽  
Soft Tissues ◽  
Velopharyngeal Insufficiency ◽  
Nasal Breathing ◽  
Obstructive Sleep ◽  
Removable Prosthesis ◽  
Pharyngeal Flap ◽  
Lateral Walls

Objective: The obturating pharyngeal flap used in correcting velopharyngeal insufficiency has been implicated in creating difficulty in nasal breathing for some patients and/or in causing hyponasal speech, obstructive sleep apnea, and snoring. This is a case report of an individually designed removable prosthesis that positions an acrylic tube through each port lateral to the pharyngeal flap, with the goal of preventing the collapse of the ports during sleep and the consequent snoring. Design: The acrylic tubes maintain an opening through both lateral ports preventing the soft tissues of the lateral walls from vibrating against the pharyngeal flap (causing the snoring sound) and allowing nasal breathing. Results: The acrylic tubes effectively eliminated the patient's problem of snoring. Conclusions: This case study demonstrates that snoring associated with a pharyngeal flap can be controlled prosthetically by maintaining an opening through the two lateral ports, preventing the soft tissues of the walls of the lateral ports from vibrating against the flap.

scholarly journals Clinical Analysis of Velopharyngeal Incompetence in Patients with Folded Pharyngeal Flap

2003 ◽  
Vol 106 (6) ◽  
pp. 700-704 ◽  
Author(s):  
Hiroshi Hoshikawa ◽  
Rieko Goto ◽  
Masayuki Karaki ◽  
Kazunori Miyabe ◽  
Nozomu Mori
Keyword(s):  
Clinical Analysis ◽  
Velopharyngeal Incompetence ◽  
Pharyngeal Flap

scholarly journals Pharyngeal Flap Procedure in the Management of Complicated Cases of Cleft Palate

1955 ◽  
Vol 142 (4) ◽  
pp. 662-673 ◽  
Author(s):  
HERBERT CONWAY ◽  
RICHARD B. STARK
Keyword(s):  
Cleft Palate ◽  
Flap Procedure ◽  
Pharyngeal Flap

scholarly journals Unified velopharyngoplasty for the management of recurrence of velopharyngeal incompetence after pharyngeal flap surgery.

1996 ◽  
Vol 42 (3) ◽  
pp. 320-322 ◽  
Author(s):  
Takashi TACHIMURA ◽  
Hisanaga HARA ◽  
Takeshi WADA ◽  
Seiji IIDA ◽  
Mikihiko KOGO ◽  
...  
Keyword(s):  
Flap Surgery ◽  
Velopharyngeal Incompetence ◽  
Pharyngeal Flap

Comparison of Velopharyngeal Growth Patterns between Cleft Lip and/or Palate Patients Requiring or Not Requiring Pharyngeal Flap Surgery

1994 ◽  
Vol 31 (6) ◽  
pp. 452-460 ◽  
Author(s):  
Mohammad Mazaheri ◽  
Athanasios E. Athanasiou ◽  
Ross E. Long
Keyword(s):  
Cleft Palate ◽  
Soft Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Growth Curves ◽  
Growth Patterns ◽  
Flap Surgery ◽  
Velopharyngeal Incompetence ◽  
Lateral Cephalograms ◽  
Pharyngeal Flap

This investigation compares the patterns of velopharyngeal growth in cleft lip and/or palate patients. Those who had velopharyngeal competence and acceptable speech are compared with those who presented with velopharyngeal incompetence requiring pharyngeal flap surgery or prosthesis later. Lateral cephalograms of 30 cleft palate only (CPO), 35 unilateral cleft lip and palate (UCLP), and 20 bilateral cleft lip and palate (BCLP) children of the Lancaster Cleft Palate Clinic were studied. These records were taken at 6 month intervals during the first 2 postnatal years and annually thereafter up to 6 years of age. Soft tissue landmark points in the velopharyngeal region were digitized. Length and thickness of the soft palate and height and depth of the nasopharynx were measured. Evaluation of the growth curves of these four cephalometric variables indicated only two significant differences between children who later required pharyngeal flap surgery and those who did not. These differences were found in the growth in length of the soft palate of the CPO group and in the growth in depth of the nasopharynx of the BCLP group. Based on the present cephalometric data, it is Impossible to predict at an early age those cleft lip and/or palate patients who will later require pharyngeal flaps.

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