Sphincter pharyngoplasty for the surgical management of speech dysfunction associated with velocardiofacial syndrome

Witt, Peter D.; Cohen, David J.; Grames, Lynn Marty; Marsh, Jeffrey L.

doi:10.1054/bjps.1999.3168

Cited by 44 publications

(32 citation statements)

References 17 publications

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“…In conclusion, although both, pharyngeal flap, and sphincter pharyngoplasty have been proposed as reliable options for treating VCFS patients with VPI [7,10,13], the results of this paper seem to support the notion that the pharyngeal flap technique provides a relatively better speech outcome. It should be emphasized that the procedure should be readily modified to accommodate an individual patient's needs as determined by preoperative imaging evaluations (VNP and multiview VF).…”

Section: Discussionsupporting

confidence: 52%

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Surgical planning for restoring velopharyngeal function in velocardiofacial syndrome

Ysunza¹,

Pamplona²,

Molina³

et al. 2009

International Journal of Pediatric Otorhinolaryngology

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Section: Discussionsupporting

confidence: 52%

“…Several surgical options have been reported including the Wardill push-back procedure, the Furlow's palatoplasty, and the minimal incision palatopharyngoplasty [8,9,12,13]. In addition, individualized velopharyngeal surgery is commonly performed when simple palatal repair fails to completely correct velopharyngeal insufficiency [9].…”

Section: Introductionmentioning

confidence: 99%

Surgical planning for restoring velopharyngeal function in velocardiofacial syndrome

Ysunza¹,

Pamplona²,

Molina³

et al. 2009

International Journal of Pediatric Otorhinolaryngology

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“…This surgical method is often used in patients with large-gap coronal, circular velopharyngeal closure, bow-tie closure, or hypodynamic velopharyngeal movement. 26,27 Losken et al investigated the results of sphincter pharyngoplasty in VCFS patients, and they compared the results to non-VCFS patients. 6 They demonstrated that sphincter pharyngoplasty was safe and effective for correcting VPI in VCFS patients.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the levator veli palatini muscle thickness in patients with velocardiofacial syndrome using magnetic resonance imaging

Mi-Kyong

Ahn

Jeong

et al. 2015

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Velocardiofacial syndrome (VCFS) is associated with velopharyngeal insufficiency, which occurs in approximately 75% of VCFS patients. Surgical management of velopharyngeal insufficiency in VCFS patients is difficult with a high revision rate due to the anatomic and physiological abnormalities of the velopharynx. The aims of this study were to evaluate the thickness and symmetry of the levator veli palatini (LVP) muscle using magnetic resonance imaging (MRI), and to compare the findings in VCFS patients to those in patients with nonsyndromic submucous cleft palate. We conducted a prospective analysis of 17 VCFS patients (nine boys, eight girls; age range, 4-9 years) and nine patients with submucous cleft palate without VCFS (eight boys, one girl; age range, 4-13 years) who had undergone MRI between March 2009 and August 2013. The thickness of the LVP muscle was measured at six locations in both groups. The symmetry was determined by comparing the values between the average of the left three points and the right three points. The mean LVP muscle thickness was significantly thinner in VCFS patients (2.14 ± 0.73 mm) than in patients without VCFS (3.70 ± 1.08 mm) (p < 0.001). In addition, the difference between the left and right sides of muscle thickness in the VCFS group was larger than that in the nonsyndromic submucous cleft palate group (0.25 and 0.09 mm, respectively). The thinness and asymmetry of the LVP muscle should be considered when determining the surgical management of velopharyngeal insufficiency in VCFS patients.

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“…Existen grupos de profesionales que prefieren realizar la faringoplastía de Orticochea, también llamada faringoplastía con colgajos laterales, y describen resultados exitosos (18 de 19 casos) en pacientes con disfunción velofaríngea secundaria a SVCF (33) , es decir, logran ausencia de hipernasalidad, emisión nasal y/o turbulencia, y un cierre velofaríngeo completo en el análisis instrumental, considerándola segura y efectiva (34) . Otros autores proponen modificaciones al flap faríngeo en el caso de IVF asimétrica, flap faríngeo adaptado al defecto (35) .…”

Section: Aspectos Quirúrgicosunclassified

“…En una serie estudiada de 39 pacientes con SVCF, 10 de ellos presentó pulsaciones en la pared faríngea posterior, sin que a ninguno se le hiciera estudios imagenológicos previos a la faringoplastía, y cursaron sin complicaciones quirúrgicas (33) . Dado estos resultados, concluyen que bastaría únicamente con la palpación de la región a intervenir, y la observación in situ de la región.…”

Section: Aspectos Quirúrgicosunclassified

Descripción de características clínicas del síndrome velocardiofacial

Alvarez¹,

Palomares²,

Villena³

2012

Revista Chilena De Fonoaudiología

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RESUMENUno de los síndromes más frecuentes asociados a fisura palatina es el Síndrome Velocardiofacial. Sus características involucran aspectos faciales, cardiológicos, psicológicos, lingüísticos y de aprendizaje, que deben ser abordados por equipos multiprofesionales. Internacionalmente el estudio de este síndrome se ha ido masificando en forma progresiva. En nuestro país son escasos los grupos que manejan e intervienen en esta población. En este contexto es que se hace necesaria una revisión bibliográfica actualizada, que resuma los hallazgos clínicos y algunos aspectos de manejo multiprofesional, desde una perspectiva fonoaudiológica.Palabras clave: Síndrome Velocardiofacial, Fisura Palatina, Insuficiencia Velofaríngea, Faringoplastía. ABSTRACTVelo-Cardio-Facial syndrome (VCFS) is one of the most frequently associated syndromes to cleft palate. It comprises facial, cardiological, psychological, and linguistic disorders as well as learning difficulties which all must be addressed by a multi-professional team. The study of this syndrome has been systematically carried out around the world. In Chile, however, there are only few health-related professionals who work with this patient population. The present article aims at providing an up-to-date review, from a speech pathology point of view, on the clinical findings and on some aspects involved in the clinical management of VCFS.

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Sphincter pharyngoplasty for the surgical management of speech dysfunction associated with velocardiofacial syndrome

Cited by 44 publications

References 17 publications

Surgical planning for restoring velopharyngeal function in velocardiofacial syndrome

Surgical planning for restoring velopharyngeal function in velocardiofacial syndrome

Evaluation of the levator veli palatini muscle thickness in patients with velocardiofacial syndrome using magnetic resonance imaging

Descripción de características clínicas del síndrome velocardiofacial

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