Response to Letter to the Editor: Fat Injection Pharyngoplasty for Velopharyngeal Insufficiency Management

Contrera, Kevin J.; Tierney, William S.; Bryson, Paul C.

doi:10.1177/0003489420922826

Cited by 1 publication

(1 citation statement)

References 7 publications

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“…Shih 45 Teixeira 14 Lau 20 Perez 27 Impieri 31 Denadai 39 Contrera 46 Nicolas 15 Darryl 21 Syamal 32 Zaer 40 Contrera 47 Jones 41 Diallo-Hornez 42 described by Bardot. 9 No infiltration was performed out of the retropharynx.…”

Section: Surgical Proceduresmentioning

confidence: 99%

Autologous Fat Grafting in Velopharyngeal Insufficiency Gives Complete and Stable Speech Recovery in Patient Under 7 years.

Suzzi

Baylon

Tramini

et al. 2021

Journal of Craniofacial Surgery

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The authorspresent a retrospective observational cohort study of 47 French speaking consecutive patients treated with retropharyngeal wall filling with autologous fat graft from 2006 to 2019 in a single tertiary center, to assess with a longterm follow-up, the best tailored treatment to recovery speech for velopharyngeal insufficiency, and to stress the importance of early treatment with minimally invasive procedure with retropharyngeal wall fat grafting. In preoperative setting, a clinical and instrumental evaluation with aerophonoscope is completed by a palatal closure assessment with nasal endoscopy. All patients were classified according with Borel Maisonny score pre-and post-operatively. Sixty three fat injections were performed. In 4 cases a pharyngeal flap was performed after fat graft for an insufficient speech result. The authors had no complications. Patients with less than 7 years of age obtained a complete recovery of their velopharyngeal incompetence (P ¼ 0.03) compared to older patients. In conclusion, the authors can state that this tailored surgical technique needs a multidisciplinary approach. Many variables can affect postoperative results: fat reabsorption, concurrently performed surgery, pattern of pharyngeal closure, hearing impairment. None of these factors affected our result. Early treatment plays a crucial role to achieve better results. Patients with less of 7 years showed a better result in this functional treatment.

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