Posterior pharyngeal fat grafting for velopharyngeal insufficiency

The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
Darryl LauSteven J Kasten

Abstract

Objective : To determine if autologous fat grafting to the posterior pharynx can reduce hypernasality in patients with cleft palate and mild velopharyngeal insufficiency (VPI). Design : Retrospective case series. Setting : Tertiary care center. Patients : Eleven patients with cleft palate status after palatoplasty (with or without secondary speech surgery) with nasendoscopic evidence of VPI. Interventions : Autologous fat was harvested and injected into the posterior pharynx under general anesthesia. Main Outcome Measures : Pre- and postoperative subjective, nasometry, and nasendoscopy data. Apnea-hypopnea indices (AHIs) were also assessed. Comparisons were made using Fisher's exact test, Student's t tests, and relative risk (RR) assessments. Results : An average of 13.1 mL of fat was injected (range: 5 to 22 mL). Mean follow-up was 17.5 months (range: 12 to 25 months). Statistically significant improvements in speech resonance were identified in nasometry (Zoo passage; p  =  .027) and subjective hypernasality assessment (p  =  .035). Eight of the patients (73%) demonstrated normal speech resonance after posterior pharyngeal fat grafting (PPFG) on subjective or objective assessment (p  =  .001). All five patients with previous ...Continue Reading

References

Aug 1, 1990·The Journal of Speech and Hearing Disorders·R M DalstonE T Dalston
Mar 1, 1973·Plastic and Reconstructive Surgery·R O Brauer
Sep 1, 1969·Plastic and Reconstructive Surgery·R Blocksma, S Braley
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
Aug 26, 1998·The Laryngoscope·K C SieT Yonick
Nov 30, 1999·International Journal of Pediatric Otorhinolaryngology·J P Willging
Feb 24, 2001·The Annals of Otology, Rhinology, and Laryngology·P H Dejonckere, H A van Wijngaarden
Feb 6, 2004·Plastic and Reconstructive Surgery·José GuerrerosantosHilda Rivera
Sep 10, 2005·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Thomas WattersonTami Brancamp
Mar 11, 2006·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Landon S PryorAnanth S Murthy
Aug 29, 2006·Plastic and Reconstructive Surgery·Sydney R Coleman
Sep 28, 2007·Plastic and Reconstructive Surgery·Jeffrey B WiseRichard E Kirschner
Jan 8, 2008·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·João Henrique Nogueira PintoMaria Inês Pegoraro-Krook
Dec 25, 2009·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Igor LeuchterPhilippe Pasche
Feb 26, 2010·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Rodrigo P TeixeiraAndrew Greensmith

❮ Previous
Next ❯

Citations

Oct 5, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·A BishopM Bezuhly
Jan 7, 2014·The British Journal of Oral & Maxillofacial Surgery·Emma C PaesCorstiaan C Breugem
Nov 21, 2014·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Elsa PiotetPhilippe Pasche
Jun 6, 2017·The Journal of Craniofacial Surgery·Evan NighSeth R Thaller
Feb 14, 2018·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Yun S PhuaJonathan A Burge
Jul 2, 2019·The Journal of Craniofacial Surgery·Saleigh AdamsDonald A Hudson
May 3, 2019·The Journal of Craniofacial Surgery·Christine M Jones, Donald R Mackay
Feb 13, 2020·Annals of Plastic Surgery·Casey AndersonPetros Konofaos
May 7, 2021·International Journal of Pediatric Otorhinolaryngology·Rebecca BellAlexander P Marston

❮ Previous
Next ❯

Methods Mentioned

BETA
dissection

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.

Related Papers

The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
Rodrigo P TeixeiraAndrew Greensmith
The Journal of Craniofacial Surgery
Russell E EttingerSteven J Kasten
The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
Jose Rolando Prada MadridNathaly Londoño Velasquez
© 2022 Meta ULC. All rights reserved