Results with sphincter pharyngoplasty and pharyngeal flap

Serres, Lianne M. de; Deleyiannis, Frederic W.‐B.; Eblen, Linda E.; Gruss, Joseph S.; Richardson, Mark A.; Sie, Kathleen C.Y.

doi:10.1016/s0165-5876(99)00006-3

Cited by 110 publications

(78 citation statements)

References 16 publications

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“…In fact, one center noted a higher likelihood of obstructed sleep symptoms in patients who had PF vs SP. 14 …”

Section: Commentmentioning

confidence: 99%

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Outcomes of Sphincter Pharyngoplasty and Palatal Lengthening for Velopharyngeal Insufficiency<subtitle>A 10-Year Experience</subtitle>

Carlisle¹

2011

Arch Otolaryngol Head Neck Surg

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Sphincter pharyngoplasty is an effective procedure for the management of VPI, with a success rate of 87% when using need for surgical revision as the primary outcome measure. This number improved to 100% after a single revision, with elimination of VPI in all revision cases. Concomitant FP and SP may improve outcomes compared with SP alone. Further prospective studies are needed to elucidate this relationship.

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“…In fact, one center noted a higher likelihood of obstructed sleep symptoms in patients who had PF vs SP. 14 …”

Section: Commentmentioning

confidence: 99%

“…However, we favor SP over PF because of surgical preference and because of our perception of increased obstructed sleep symptoms associated with PF. Indeed, studies 14 have noted a higher likelihood of obstructive sleep symptoms in patients who had PF.…”

mentioning

confidence: 99%

Outcomes of Sphincter Pharyngoplasty and Palatal Lengthening for Velopharyngeal Insufficiency<subtitle>A 10-Year Experience</subtitle>

Carlisle¹

2011

Arch Otolaryngol Head Neck Surg

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“…9). Retrospective studies have not demonstrated the superiority of one procedure in terms of VPI resolution and postoperative complications 109,110 (Level IV evidence). The speech outcomes (eg, nasal air emissions and resonance scores) of pharyngeal flap surgery were reported in a recent retrospective study of 61 patients.…”

Section: Velopharyngeal Insufficiencymentioning

confidence: 99%

Cleft Lip and Palate

Shaye

Liu

Tollefson

2015

Facial Plastic Surgery Clinics of North America

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“…The success of this type of surgical management of velopharyngeal inadequacy is specifically determined by subsequent speech characteristics. Evaluation of specific Van types of surgical procedures and a detailed description of the specific speech outcome measures are fascinating to every surgeon treating velopharyngeal inadequacy: cleft palate or submucous cleft, neuromuscular disease, previous adenoidectomy, congenital short soft palate or otherwise unidentifiable etiologies [2] . This study focuses on the outcome of a specific surgical technique, the pharyngeal flap.…”

Section: Introductionmentioning

confidence: 99%

Speech Outcome regarding Overall Intelligibility, Articulation, Resonance and Voice in Flemish Children a Year after Pharyngeal Flap Surgery

Lierde¹,

Bonte²,

Baudonck³

et al. 2008

Folia Phoniatr Logop

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Objective: The main purpose of this study is to determine the treatment effectiveness of pharyngeal flap surgery by measuring speech outcome 1 year after surgery. The authors hypothesized that flap surgery is an effective technique for velopharyngeal inadequacy resulting in improved intelligibility, decreased hypernasality and nasalance scores and normal voice characteristics. Patients and Methods: Objective (Nasometer, Dysphonia Severity Index) as well as subjective (perceptual evaluations) assessment techniques were performed in 7 subjects. Speech evaluations were performed 1 year after flap surgery and comparison was made between the speech results of the preoperative condition (1 week before surgery) and the first postoperative condition (6 weeks after surgery). Results: After pharyngeal flap surgery there was improved though still slightly impaired intelligibility, with normal nasality, normal nasalance values for standard Flemish speech and normal voice characteristics. The normal nasality and nasalance values were not present in the preoperative condition. Persistence of the incorrect production of the thrill sound /r/ and the fricatives /s/ and /sch/ were observed. Conclusion: It is likely that the slightly impaired speech intelligibility is determined by the presence of persistent articulation disorders.

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Results with sphincter pharyngoplasty and pharyngeal flap

Cited by 110 publications

References 16 publications

Outcomes of Sphincter Pharyngoplasty and Palatal Lengthening for Velopharyngeal Insufficiency<subtitle>A 10-Year Experience</subtitle>

Outcomes of Sphincter Pharyngoplasty and Palatal Lengthening for Velopharyngeal Insufficiency<subtitle>A 10-Year Experience</subtitle>

Cleft Lip and Palate

Speech Outcome regarding Overall Intelligibility, Articulation, Resonance and Voice in Flemish Children a Year after Pharyngeal Flap Surgery

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