Velopharyngoplasty according to Sanvenero Rosselli

Keuning, K.H.D.M.; Crisi, L. M. T. N.

doi:10.1007/s100060050177

Cited by 6 publications

(2 citation statements)

References 9 publications

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“…The criteria for recommending pharyngeal flap surgery were based on perceptual analysis as follows: hypernasality, weak pressure consonants, weak pharyngeal musculature, and nasal emission (types 2M and 2/3 Borel-Maisonny). Cranial-based pharyngeal flaps (Figure 7) were used according to Schönborn and Sanvenero Rosselli [32,33]. A broad, cranially based pharyngeal flap was incised and elevated from the prevertebral fascia to be sutured to the nasal side of the incised velum.…”

Section: Description Of Secondary Surgeriesmentioning

confidence: 99%

What We Learned from Performing the Inverse Malek Procedure to Repair Bilateral Cleft Lips and Palates: A Single-Center Retrospective Study

Al-Dourobi,

Mermod,

Doan

et al. 2024

JCM

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Background: This study reviews the surgical and functional outcomes of children diagnosed with a bilateral cleft lip and palate and treated by the same surgical team following specific surgical protocols 18 years after surgery and during the follow-up. Methods: Based on a single-center retrospective design, demographic and surgical data were gathered by the authors from international institutions. Most of the data were quantitative in nature, and descriptive statistical and non-parametric tests were employed for analysis. All children born with a bilateral cleft from 1982 to 2002 were considered. Children affected by a syndrome were excluded. Complications and speech results were the main items measured. Results: Thirty patients were selected; 73.3% were treated using the inverse Malek procedure, and 26.7% underwent a modified two-stage procedure. Seventy percent developed an oronasal fistula. An alveolar bone graft was performed in 83%, and 53.3% underwent Le Fort osteotomy. Thirty-six percent required a pharyngeal flap, with good speech results. The median number of times general anesthesia was used among all the interventions considered was 5.5 (4.25–6). Conclusions: This study presents the long-term results of using the inverse Malek procedure to treat children with a bilateral cleft lip and palate. It is shown that this is related to a high risk of developing a fistula, but has good long-term speech results.

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Section: Description Of Secondary Surgeriesmentioning

confidence: 99%

What We Learned from Performing the Inverse Malek Procedure to Repair Bilateral Cleft Lips and Palates: A Single-Center Retrospective Study

Al-Dourobi,

Mermod,

Doan

et al. 2024

JCM

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“…2 The 2 most common surgical procedures for VPI are dynamic sphincter pharyngoplasty (according to Hynes or Orticochea) and posterior flap pharyngoplasty (PFP) (according to Sanvenero Rosselli), which result in a correction of VPI in 80% to 90% of patients. [3][4][5][6][7] However, although surgery is effective in resolving resonance disorder, it may also predispose patients to hyponasality and obstructive sleep apnea (OSA). 8,9 Indeed, all procedures narrow the VP space with a consequent risk of airflow limitation.…”

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confidence: 99%

Incidence of New-Onset Obstructive Sleep Apnea After Posterior Flap Pharyngoplasty in Children

et al. 2021

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Introduction Obstructive sleep apnea (OSA) is a well-recognized complication of velopharyngeal insufficiency (VPI) surgery, but studies assessing OSA by means of a respiratory polygraphy (PG) are scarce. The aim of the study was to evaluate the incidence of new-onset OSA after posterior flap pharyngoplasty (PFP). Materials The postoperative PG of children with VPI who had a normal preoperative PG were analyzed. Results Eighteen patients (mean age, 9.8 ± 4.8 years; Pierre Robin sequence [n = 5], isolated cleft palate [n = 7], 22q11 deletion [n = 3], and 3 other diagnoses) were included in the study. Mean delay between surgery and the postoperative PG was 11.5 ± 13.5 months. Two patients (11%) developed severe OSA after PFP. One patient with 22q11 deletion developed overt OSA symptoms immediately after surgery with an apnea-hypopnea index (AHI) of 39 events per hour, requiring continuous positive airway pressure (CPAP) therapy. Obstructive sleep apnea improved spontaneously after 10 months, with an AHI of 2 events/h after CPAP weaning. The second patient had a cleft palate associated with a fetal alcohol syndrome and developed OSA symptoms after surgery with an AHI of 18 events/h requiring CPAP therapy. He could be weaned from CPAP 6 months later after a complete section of the pharyngeal flap with an AHI of 6 events/h during spontaneous breathing. Conclusions New-onset OSA after PFP in children with VPI who had a normal preoperative PG was uncommon (11%) in the present cohort.

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L’insuffisance vélopharyngée chez l’enfant

Rouillon

Leboulanger

Roger

et al. 2009

Annales d'Otolaryngologie et de Chirurgie Cervico-faciale

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Velopharyngoplasty according to Sanvenero Rosselli

Abstract: The history of the pharyngeal flap and the contributions of Schoenborn, Sanvenero Rosselli, Padgett, Sercer and Rosenthal are described. The summary Divisione palatina e sua cura chirurgica in the Italian/French language is translated into English.

Cited by 6 publications

References 9 publications

What We Learned from Performing the Inverse Malek Procedure to Repair Bilateral Cleft Lips and Palates: A Single-Center Retrospective Study

What We Learned from Performing the Inverse Malek Procedure to Repair Bilateral Cleft Lips and Palates: A Single-Center Retrospective Study

Incidence of New-Onset Obstructive Sleep Apnea After Posterior Flap Pharyngoplasty in Children

L’insuffisance vélopharyngée chez l’enfant

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