PMID: 9418916Jan 7, 1998Paper

A retrospective analysis of revision sphincter pharyngoplasty

Annals of Plastic Surgery
Steven J KastenM Berger

Abstract

This retrospective study was undertaken to determine the revision rate for dynamic sphincter pharyngoplasty (DSP) at the University of Michigan Medical Center to analyze the determinants contributing to the need for revision pharyngoplasties, and ultimately to improve primary pharyngoplasty to avoid the need for revision. The records of 30 children with repaired palatal clefts who presented with velopharyngeal insufficiency and hypernasal speech, and who underwent DSP from January 1988 through July 1994 were reviewed. Clinical follow-up ranged from 6 to 48 months (mean, 20.2 months). Seven of the original 30 patients (23%) had persistent, moderate-to-severe hypernasality that required reoperation, while 1 patient (3%) demonstrated hyponasality requiring revision. Seven of 8 patients who underwent revision pharyngoplasty had acceptable speech after revision. Dehiscences, low-lying pharyngoplasty flaps, and end-to-end suturing of the flaps were the main determinants resulting in the need for revision. In our study, female gender and older age was associated with a higher success of primary operation.

Citations

May 16, 2000·Plastic and Reconstructive Surgery·J A AschermanN Prisant
Dec 10, 2003·Plastic and Reconstructive Surgery·Albert LoskenJohn E Riski
Jul 12, 2011·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·N E SpruijtA B Mink van der Molen
Feb 15, 2012·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Darryl LauSteven J Kasten
Apr 5, 2000·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·G M Sloan
Aug 8, 2007·Revue de stomatologie et de chirurgie maxillo-faciale·C GbaguidiB Devauchelle
Nov 23, 2007·International Journal of Pediatric Otorhinolaryngology·Mosaad Abdel-Aziz
Mar 22, 2014·The Laryngoscope·Brendan P O'ConnellDavid R White
Mar 20, 2018·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Kazlin N MasonJamie L Perry
May 12, 2018·The Journal of Craniofacial Surgery·Ritwik GroverBahar Bassiri Gharb
Jun 16, 2018·The Journal of Craniofacial Surgery·Kazlin N MasonJohn E Riski
Mar 11, 2016·The Journal of Craniofacial Surgery·Kazlin N MasonXiangming Fang
Nov 26, 2020·Plastic and Reconstructive Surgery·Katelyn G MakarChristian J Vercler
Sep 28, 2021·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Kazlin N MasonJamie L Perry

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