Cargando…

Postoperative evaluation of the folded pharyngeal flap operation for cleft palate patients with velopharyngeal insufficiency

BACKGROUND: Velopharyngeal function is very important for patients with cleft palate to acquire good speech. For patients with velopharyngeal insufficiency, prosthetic speech appliances and speech therapy are applied first, and then pharyngeal flap surgery to improve velopharyngeal function is perfo...

Descripción completa

Detalles Bibliográficos
Autores principales: Yoshimasu, Hidemi, Sato, Yutaka, Mishimagi, Takashi, Negishi, Akihide
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4555951/
https://www.ncbi.nlm.nih.gov/pubmed/26389036
http://dx.doi.org/10.4103/2231-0746.161066
_version_ 1782388278032334848
author Yoshimasu, Hidemi
Sato, Yutaka
Mishimagi, Takashi
Negishi, Akihide
author_facet Yoshimasu, Hidemi
Sato, Yutaka
Mishimagi, Takashi
Negishi, Akihide
author_sort Yoshimasu, Hidemi
collection PubMed
description BACKGROUND: Velopharyngeal function is very important for patients with cleft palate to acquire good speech. For patients with velopharyngeal insufficiency, prosthetic speech appliances and speech therapy are applied first, and then pharyngeal flap surgery to improve velopharyngeal function is performed in our hospital. The folded pharyngeal flap operation was first reported by Isshiki and Morimoto in 1975. We usually use a modification of the original method. PURPOSE: The purpose of this research was to introduce our method of the folded pharyngeal flap operation and report the results. MATERIALS AND METHODS: The folded pharyngeal flap operation was performed for 110 patients with velopharyngeal insufficiency from 1982 to 2010. Of these, the 97 whose postoperative speech function was evaluated are reported. The cases included 61 males and 36 females, ranging in age from 7 to 50 years. The time from surgery to speech assessment ranged from 5 months to 6 years. In order to evaluate preoperative velopharyngeal function, assessment of speech by a trained speech pathologist, nasopharyngoscopy, and cephalometric radiography with contrast media were performed before surgery, and then the appropriate surgery was selected and performed. Postoperative velopharyngeal function was assessed by a trained speech pathologist. RESULTS: Of the 97 patients who underwent the folded pharyngeal flap operation, 85 (87.6%) showed velopharyngeal competence, 8 (8.2%) showed marginal velopharyngeal incompetence, and only 2 (2.1%) showed velopharyngeal incompetence; in 2 cases (2.1%), hyponasality was present. Approximately 95% of patients showed improved velopharyngeal function. CONCLUSIONS: The folded pharyngeal flap operation based on appropriate preoperative assessment has been shown to be an effective method for the treatment of cleft palate patients with velopharyngeal insufficiency.
format Online
Article
Text
id pubmed-4555951
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-45559512015-09-18 Postoperative evaluation of the folded pharyngeal flap operation for cleft palate patients with velopharyngeal insufficiency Yoshimasu, Hidemi Sato, Yutaka Mishimagi, Takashi Negishi, Akihide Ann Maxillofac Surg Original Article - Evaluative study BACKGROUND: Velopharyngeal function is very important for patients with cleft palate to acquire good speech. For patients with velopharyngeal insufficiency, prosthetic speech appliances and speech therapy are applied first, and then pharyngeal flap surgery to improve velopharyngeal function is performed in our hospital. The folded pharyngeal flap operation was first reported by Isshiki and Morimoto in 1975. We usually use a modification of the original method. PURPOSE: The purpose of this research was to introduce our method of the folded pharyngeal flap operation and report the results. MATERIALS AND METHODS: The folded pharyngeal flap operation was performed for 110 patients with velopharyngeal insufficiency from 1982 to 2010. Of these, the 97 whose postoperative speech function was evaluated are reported. The cases included 61 males and 36 females, ranging in age from 7 to 50 years. The time from surgery to speech assessment ranged from 5 months to 6 years. In order to evaluate preoperative velopharyngeal function, assessment of speech by a trained speech pathologist, nasopharyngoscopy, and cephalometric radiography with contrast media were performed before surgery, and then the appropriate surgery was selected and performed. Postoperative velopharyngeal function was assessed by a trained speech pathologist. RESULTS: Of the 97 patients who underwent the folded pharyngeal flap operation, 85 (87.6%) showed velopharyngeal competence, 8 (8.2%) showed marginal velopharyngeal incompetence, and only 2 (2.1%) showed velopharyngeal incompetence; in 2 cases (2.1%), hyponasality was present. Approximately 95% of patients showed improved velopharyngeal function. CONCLUSIONS: The folded pharyngeal flap operation based on appropriate preoperative assessment has been shown to be an effective method for the treatment of cleft palate patients with velopharyngeal insufficiency. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4555951/ /pubmed/26389036 http://dx.doi.org/10.4103/2231-0746.161066 Text en Copyright: © 2015 Annals of Maxillofacial Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article - Evaluative study
Yoshimasu, Hidemi
Sato, Yutaka
Mishimagi, Takashi
Negishi, Akihide
Postoperative evaluation of the folded pharyngeal flap operation for cleft palate patients with velopharyngeal insufficiency
title Postoperative evaluation of the folded pharyngeal flap operation for cleft palate patients with velopharyngeal insufficiency
title_full Postoperative evaluation of the folded pharyngeal flap operation for cleft palate patients with velopharyngeal insufficiency
title_fullStr Postoperative evaluation of the folded pharyngeal flap operation for cleft palate patients with velopharyngeal insufficiency
title_full_unstemmed Postoperative evaluation of the folded pharyngeal flap operation for cleft palate patients with velopharyngeal insufficiency
title_short Postoperative evaluation of the folded pharyngeal flap operation for cleft palate patients with velopharyngeal insufficiency
title_sort postoperative evaluation of the folded pharyngeal flap operation for cleft palate patients with velopharyngeal insufficiency
topic Original Article - Evaluative study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4555951/
https://www.ncbi.nlm.nih.gov/pubmed/26389036
http://dx.doi.org/10.4103/2231-0746.161066
work_keys_str_mv AT yoshimasuhidemi postoperativeevaluationofthefoldedpharyngealflapoperationforcleftpalatepatientswithvelopharyngealinsufficiency
AT satoyutaka postoperativeevaluationofthefoldedpharyngealflapoperationforcleftpalatepatientswithvelopharyngealinsufficiency
AT mishimagitakashi postoperativeevaluationofthefoldedpharyngealflapoperationforcleftpalatepatientswithvelopharyngealinsufficiency
AT negishiakihide postoperativeevaluationofthefoldedpharyngealflapoperationforcleftpalatepatientswithvelopharyngealinsufficiency