The modified superior based pharyngeal flap technique

Wu, Jiashin; Epker, Bruce N.

doi:10.1016/0030-4220(90)90136-g

Cited by 13 publications

(3 citation statements)

References 9 publications

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“…Nasopharyngeal depth is the distance between the posterior end of the hard palate and the posterior pharyngeal wall and approximates the extended line of the palatal plane in patients with repaired cleft palate and without clefts (Wu and Epker, 1990; Yoshida et al, 1992; Satoh et al, 1999). The average nasopharyngeal depth increased 4.66 mm, and the maxillary advancement was 3.25 mm.…”

Section: Discussionmentioning

confidence: 99%

Velopharyngeal Configuration Changes following Le Fort I Osteotomy with Maxillary Advancement in Patients with Cleft Lip and Palate: A Cephalometric Study

Wang

et al. 2015

The Cleft Palate Craniofacial Journal

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Section: Discussionmentioning

confidence: 99%

Velopharyngeal Configuration Changes following Le Fort I Osteotomy with Maxillary Advancement in Patients with Cleft Lip and Palate: A Cephalometric Study

Wang

et al. 2015

The Cleft Palate Craniofacial Journal

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“…Postoperative pain is one of the most common events after PPF surgery that affect the quality of recovery, especially in the early period after surgery 2 . The pain is caused by the tearing of the mucosa, exposure of the muscle, and local oedema following mechanical trauma to the tissue, which subsequently causes the exudation of inflammatory cells 3 …”

Section: Introductionmentioning

confidence: 99%

“…2 The pain is caused by the tearing of the mucosa, exposure of the muscle, and local oedema following mechanical trauma to the tissue, which subsequently causes the exudation of inflammatory cells. 3 Hitherto, there is no consensus on the best strategy for PPF surgery, and achieving adequate postoperative analgesia remains challenging. Opioids remain an essential component of acute pain control protocols because of their efficacy.…”

Section: Introductionmentioning

confidence: 99%

Lidocaine Spray for Acute Postsurgical Pain Control After Posterior Pharyngeal Flap Surgery

Zhou,

Wang,

et al. 2023

The Laryngoscope

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ObjectivesThis study evaluated the use of lidocaine spray for acute postsurgical pain control after posterior pharyngeal flap surgery.MethodsFifty patients aged 4 to 14 years who were scheduled to undergo elective posterior pharyngeal flap surgery were randomized to receive 2.4% lidocaine spray (Group L) or an identical volume of placebo spray (Group C) on the surgical field at the end of the surgery. The primary outcome was the maximum postoperative pain score in the postanesthesia care unit.ResultsThe maximum pain score in Group L was significantly lower than that in Group C (p = 0.001). The incidence of moderate‐to‐severe pain in the postanesthesia care unit was significantly lower in Group L than that in Group C (p < 0.001). In the postanesthesia care unit, more patients in Group C were prescribed rescue analgesics (p < 0.001). The time to the first rescue analgesic was also significantly shorter in Group L (p < 0.001). The incidence and maximum score of emergence agitation were lower in Group L than in Group C. Compared with Group C, Group L showed earlier postoperative fluid intake (p = 0.001). Moreover, the score for parental satisfaction with pain control was higher in Group L than in Group C (p < 0.001).ConclusionsOur findings indicated that the use of 2.4% lidocaine aerosol spray on the surgical site at the end of the surgery could produce good analgesia for acute postoperative pain, reduce the incidence and severity of EA, and shorten the time to restore fluid intake.Level of Evidence2 Laryngoscope, 2023

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