Palatal lengthening by double opposing buccal flaps for surgical correction of velopharyngeal insufficiency in cleft patients

被引：29

作者：

Chauhan, Jaideep Singh ^{[1
,2
]}

Sharma, Sarwpriya ^{[1
,2
]}

Jain, Disha ^{[3
]}

Junval, Jagrati ^{[3
]}

机构：

[1] CHL Hosp, Dept Maxillofacial Surg, AB Rd,LIG Sq, Indore, Madhya Pradesh, India

[2] CHL Hosp, Smile Train Cleft Ctr, AB Rd,LIG Sq, Indore, Madhya Pradesh, India

[3] CHL Hosp, Dept Audiol & Speech Language Pathol, AB Rd,LIG Sq, Indore, Madhya Pradesh, India

来源：

JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY | 2020年 / 48卷 / 10期

关键词：

Velopharyngeal insufficiency; VPI; Velopharyngeal dysfunction; VPD; Buccal flap; Palatal lengthening; FURLOW PALATOPLASTY; PHARYNGEAL FLAP; Z-PLASTY; MANAGEMENT; RESONANCE; SECONDARY; OUTCOMES; REPAIR;

D O I：

10.1016/j.jcms.2020.08.006

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

Aim: To assess the efficacy of double opposing buccal flap in lengthening the soft palate for velopharyngeal insufficiency correction, and its potential complications in different age groups. Case series: From March 2016 to June 2019, 50 patients (24 children, 12 adolescents and 14 adults) underwent palatal lengthening using double opposing buccinator myomucosal flaps. Postoperative complications were assessed by two surgeons and the speech outcomes were evaluated by two speech-language pathologists after assessing changes in the hypernasality and intelligibility using a scoring approach. Following the procedure, mild-to-moderate surgical complications were seen, mostly among the adults. There was a significant improvement in hypernasality and intelligibility in all the groups. None of the patients showed hyponasal speech postoperatively. Conclusion: To conclude, the double opposing buccal flap technique is an effective and safe surgical treatment option for the management of velopharyngeal insufficiency in all age groups of patients. (C) 2020 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

引用

页码：977 / 984

页数：8

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