Outcomes of Sphincter Pharyngoplasty in the Cleft Population

The Journal of Craniofacial Surgery
Ritwik GroverBahar Bassiri Gharb

Abstract

Sphincter pharyngoplasty (SP) is becoming increasingly popular for correction of velopharyngeal insufficiency (VPI) after cleft palate repair because of high success rate, low incidence of postoperative obstructive sleep apnea (OSA), and ease of revision in case of failure. This study is a meta-analysis of SP outcomes, reasons for failure, and revision strategies. A comprehensive review of the literature on SP outcomes was conducted. Sphincter pharyngoplasty failure was defined as persistent hypernasality, incomplete velopharyngeal port (VP) closure on instrumental evaluation with concomitant VPI, or nonresolving hyponasality and/or OSA persisting >3 months after surgery. Two-tailed paired Student t test was used to compare outcomes between syndromic versus nonsyndromic patients and preoperative versus postoperative OSA rates. Forty-four publications evaluating 2402 patients were included. Overall SP success rate was 78.4% (77.3% in nonsyndromic vs 84.8% in syndromic patients, P = 0.11). Overall primary revision rate was 17.8% (20% in nonsyndromic vs 15.4% in syndromic patients P = 0.97). Most failures (89.5%) manifested as persistent VPI with continued hypernasality requiring revision, whereas 10.5% of failures manifested as o...Continue Reading

References

Apr 1, 1977·The British Journal of Disorders of Communication·C F Huskie, I T Jackson
May 1, 1992·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·J E RiskiP D Edwards
Jun 1, 1986·Annals of Plastic Surgery·L R BarotD LaRossa
Mar 1, 1987·Plastic and Reconstructive Surgery·A L MossE H Albery
Jan 1, 1974·Scandinavian Journal of Plastic and Reconstructive Surgery·R W Pigott
Apr 1, 1968·Plastic and Reconstructive Surgery·M Orticochea
Jul 1, 1967·British Journal of Plastic Surgery·W Hynes
Apr 1, 1984·British Journal of Plastic Surgery·J Lendrum, B K Dhar
Mar 1, 1984·Annals of Plastic Surgery·A C Stratoudakis, C Bambace
Jun 1, 1984·Plastic and Reconstructive Surgery·J E RiskiN G Georgiade
Feb 1, 1983·Plastic and Reconstructive Surgery·M Orticochea
Jul 1, 1995·Plastic and Reconstructive Surgery·P D WittH R Muntz
Apr 1, 1994·Plastic and Reconstructive Surgery·S M ValnicekW L Roy
Jan 1, 1996·Annals of Plastic Surgery·M A LesavoyC D Berkowitz
May 1, 1996·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·P D WittG P Watchmaker
Jan 7, 1998·Annals of Plastic Surgery·S J KastenM Berger
May 16, 1998·Plastic and Reconstructive Surgery·P D WittT K Pilgram
Aug 26, 1998·The Laryngoscope·K C SieT Yonick
Oct 22, 1998·The Journal of Craniofacial Surgery·J MaegawaD J David
Jun 12, 1999·International Journal of Pediatric Otorhinolaryngology·L M de SerresK C Sie
Apr 5, 2000·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·G M Sloan
Jun 1, 1962·Journal of Speech and Hearing Research·M J HILL, R F HAGERTY
Sep 23, 2003·The Journal of Craniofacial Surgery·Jeffrey L Marsh
Dec 10, 2003·Plastic and Reconstructive Surgery·Albert LoskenJohn E Riski
Sep 4, 2004·The Journal of Craniofacial Surgery·Devra B BeckerJeffrey L Marsh
Jul 1, 1950·British Journal of Plastic Surgery·W HYNES
Sep 10, 2005·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Frank AbyholmUNKNOWN VPI Surgical Group
Mar 11, 2006·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Landon S PryorAnanth S Murthy
Nov 19, 2008·Archives of Otolaryngology--head & Neck Surgery·Josine C C WiddershovenAebele B MinkvanderMolen
May 20, 2009·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Yong-Chen PorPhilip Kuo-Ting Chen
May 12, 2011·The Journal of Craniofacial Surgery·Mosaad Abdel-AzizHassan Ghandour
Aug 17, 2011·Archives of Otolaryngology--head & Neck Surgery·Michael P CarlisleVirender K Singhal
May 4, 2012·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Felicity V MehendaleBrian C Sommerlad
May 9, 2012·The Journal of Craniofacial Surgery·David A KellyLisa R David
May 29, 2012·Plastic and Reconstructive Surgery·Jonas E Lima JuniorNivaldo Alonso
Nov 21, 2012·The Journal of Craniofacial Surgery·Russell E EttingerSteven J Kasten
May 21, 2013·The Laryngoscope·Jacques E LeclercElisa-Maude McConnell
Dec 11, 2013·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Lauren A BohmJames D Sidman
Jan 17, 2014·The Canadian Journal of Plastic Surgery = Journal Canadien De Chirurgie Plastique·Bradley A HubbardArshad R Muzaffar
Feb 19, 2014·Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology·Riitta H LithoviusGeorge K B Sándor
Mar 19, 2014·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Marta Moraleda-CibriánLouise M O'Brien
Mar 22, 2014·The Laryngoscope·Brendan P O'ConnellDavid R White

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Citations

Oct 10, 2018·Current Opinion in Otolaryngology & Head and Neck Surgery·Laura H Swibel RosenthalDana M Thompson
Mar 4, 2020·International Journal of Environmental Research and Public Health·Giannicola IannellaClaudio Vicini
Jun 5, 2021·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Alison L BirchJohn G Boorman

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