A Retrospective Analysis of Revision Sphincter Pharyngoplasty

Palatopharyngeal sling: A new technique in treatment of velopharyngeal insufficiency

“…In this study the incidence of speech improvement and velopharyngeal closure was 88.2% which is matched with results obtained by many authors using pharyngeal flap and those using sphincter pharyngoplasty [2,7,10,11].…”

The impact of adenoid size on rate of revision sphincter pharyngoplasty

“…Prior studies report SP revision rates of 11% to 23%. [7][8][9][10][11] The present study found a comparable, albeit slightly higher, rate of revision surgery of 28%. The authors feel this reflects the low threshold for revision at our institution, as patients with only minimal hypernasality postoperatively are recommended to undergo minor revision surgery (flap repositioning) to further improve to normal resonance.…”

“…Surgical revision rate was chosen as the primary outcome measure in this study, because the decision to reoperate ultimately includes both subjective and objective assessments. Prior studies report SP revision rates of 11% to 23% . The present study found a comparable, albeit slightly higher, rate of revision surgery of 28%.…”

Age-Related Changes Between the Level of Velopharyngeal Closure and the Cervical Spine

“…19-21 Riski et al 22 observed the primary cause of failed pharyngoplasty was insertion of the flap below the point of optimal velopharyngeal closure. Studies have emphasized the importance of placement of the pharyngoplasty as it relates to speech outcome 20,23,24 , suggesting placement at or above the level of velopharyngeal closure 20,22,24 .…”