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Article Abstract
Objective: Describe surgical decision making and outcomes in a series of patients with persistent VPI after pharyngeal flap placement that were all treated with revision palatoplasty.
Design: Retrospective, case series.
Participants: Five patients with nonsyndromic cleft palate and persistent hypernasality following a pharyngeal flap. On MRI, 3 patients presented with an incohesive levator veli palatini muscle, and 4 patients had a pharyngeal flap that was below the palatal plane.
Interventions: One patient underwent straight-line intravelar veloplasty (IVVP), 2 patients underwent pharyngeal flap take-down and IVVP, and 2 patients underwent pharyngeal flap take-down and palate lengthening with buccal myomucosal flaps.
Main Outcome Measure: Pre- and postoperative resonance.
Results: Four of five patients (80%) achieved normal resonance 12 months postoperation.
Conclusions: Revision palatoplasty may be an effective approach for treating patients with persistent hypernasality following a pharyngeal flap. MRI may aid in surgical selection based on patient-specific anatomical findings.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12174573 | PMC |
| http://dx.doi.org/10.1177/10556656241307740 | DOI Listing |
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