PMID: 7082884Apr 1, 1982Paper

The results of 100 operations for velopharyngeal incompetence--selected on the findings of endoscopic and radiological examination

British Journal of Plastic Surgery
E H AlberyR M Simmons

Abstract

Of one hundred patients with velopharyngeal incompetence subjected to a pharyngoplasty selected on the results of endoscopic and radiological examination 97% were cured of unacceptable nasal escape and 93% of unacceptable nasal resonance on the criteria described. It was considered that this provided a vindication of the system of treatment. Critical examination of the morbidity revealed an unacceptably high proportion of hyponasality. This appeared to be due to ignoring the criteria for selection for pharyngoplasty and opting for the more radical operation resulting in over-treatment in some cases. With the numbers available in the smaller treatment groups it was not possible to state that there was no significant difference in the results between the different pharyngoplasties in the groups for which they were selected. It is expected that there will be a larger proportion of patients receiving less radical treatment without detriment to the success rate, but with a lower morbidity. Assuming that it is accepted that as much accurate information as possible prior to operation is needed for the correct selection of operation, simultaneous endoscopic and radiological examination provide a time- and cost-efficient system the bene...Continue Reading

Citations

Dec 16, 1998·International Journal of Pediatric Otorhinolaryngology·G VantrappenJ P Frijns
Oct 1, 1996·The British Journal of Oral & Maxillofacial Surgery·D B FernandesR Lentin
Nov 4, 2009·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Jeffrey L Marsh
Mar 6, 1999·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·K Y LinM Edgerton
Sep 8, 2010·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Stephen R SullivanJohn B Mulliken
Sep 23, 2003·The Journal of Craniofacial Surgery·Jeffrey L Marsh
Mar 1, 1993·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Y F RenG Henningsson
Mar 21, 1998·Plastic and Reconstructive Surgery·M H HuangK Rajendran
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
May 3, 2011·Plastic and Reconstructive Surgery·Edward W SwansonJohn B Mulliken
Jan 1, 1992·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·L Caouette-LabergeI Ottenseyer

Related Concepts

Teens
Surgical Endoscopy
Study, Methodological
Pharyngeal Structure
Postoperative Complications
Diagnostic Radiologic Examination
Repeat Surgery
Speech Articulation Tests
Velopharyngeal Insufficiency

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