The Technique and Complications of Pharyngeal Flap Surgery

Blackfield, Harry M.; Owsley, John Q.

doi:10.1097/00006534-196505000-00009

Cited by 26 publications

(3 citation statements)

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“…Flap surgery, though it does affect slightly the development of maxillo facial growth, nonetheless docs not lead to significant disfiguration; this we verified through our cephalometric measurements performed in 140 cases [Rehdk and Hirschberg, 1986a. b], Pharvngoplasty produces no adverse ef fect on the condition or function of the ear , Our observation agrees with the relevant data of Owsley and Blackfield [ 1965]. Leworthy and Schliesser [ 1975], and Bronsted et al [ 1984], Webster and lildis [1978], while in agreement with the forego ing, say that the number of serous otitis increases.…”

Section: Surgical Complicationssupporting

confidence: 91%

Velopharyngeal Insufficiency

Hirschberg¹

1986

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Section: Surgical Complicationssupporting

confidence: 91%

Velopharyngeal Insufficiency

Hirschberg¹

1986

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“…Nylén and Wâhlin 6 reported hemorrhage to be the major complication, as well as the primary reason for airway compromise in these patients. Owsley and Blackfield 7 also reported bleeding as the major complication. One of 3 patients with respiratory embarrassment in that series actually had a blood clot in his larynx.…”

Section: Discussionmentioning

confidence: 95%

Perioperative Airway Complications following Pharyngeal Flap Palatoplasty

Peña¹,

Boyajian²,

Choi³

et al. 2000

Ann Otol Rhinol Laryngol

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This study was performed to determine the incidence and types of perioperative airway complications after pharyngeal flap palatoplasty. We conducted a retrospective chart review of 88 patients who underwent correction of velopharyngeal insufficiency between April 30, 1983, and April 30, 1997, in a tertiary care hospital. Some degree of airway obstruction developed in 7 patients. One child developed laryngobronchospasm and required immediate endotracheal intubation. He was successfully extubated without sequelae. Another patient developed severe obstructive sleep apnea and required flap revision. A third patient was found asystolic and apneic. She was immediately intubated; however, she subsequently died. Two patients aspirated blood, presumably resulting in pneumonia. They were managed with parenteral antibiotics. Another child developed worsening sleep apnea and required flap revision. One patient developed nasal obstruction that resolved with time. Airway compromise in patients who undergo pharyngeal flap palatoplasty can be a potentially fatal complication. Careful surveillance should be maintained over patients with underlying neurologic, craniofacial, or cardiopulmonary disorders.

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“…They appear to be candidates for secondary surgical intervention rather than for speech therapy. Among the possible suggestions are pharyngeal flaps (Skoog, 1965; Owsley, 1965) and teflon implants (Bluestone et al, 1968 and 1968).…”

mentioning

confidence: 99%