Treatment of velopharyngeal inadequacy in a patient with submucous cleft palate and myasthenia gravis

The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
Naoaki RikihisaSara Shimizu

Abstract

To describe the clinical course and management of a patient with submucous cleft palate who developed myasthenia gravis (MG) as an adult and suffered recurrent hypernasality. Few reports have described MG patients undergoing pharyngeal flap surgery for velopharyngeal incompetence, and these have described only slight speech improvement in such patients. Case report. The patient underwent primary pushback palatoplasty and superiorly based pharyngeal flap surgery for submucous cleft and short palate at age 7. Hypernasality showed major improvement after initial surgery. At age 19, the patient developed MG that triggered the recurrence of velopharyngeal incompetence. After MG was treated, revision pushback palatoplasty was performed for velopharyngeal incompetence when the patient was 24 years old. Preoperatively and postoperatively, the patient was evaluated by the same speech-language-hearing therapists, each with at least 5 years of clinical experience in cleft palate speech. After the second pushback palatoplasty, hypernasality and audible nasal air emission during speech decreased to mild. Primary pushback palatoplasty and pharyngeal flap surgery were performed for the submucous cleft palate. Revision pushback palatoplasty im...Continue Reading

References

Mar 1, 1966·Plastic and Reconstructive Surgery·H W PorterfieldR D Stimpert
May 1, 2002·Annals of Plastic Surgery·M Brent SeagleWilliam N Williams
Sep 26, 2002·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Ronald McVicarDonald Kearns
Nov 1, 1963·Plastic and Reconstructive Surgery·J K SMITHK L MOLL
May 6, 2004·International Journal of Pediatric Otorhinolaryngology·Anthony A RiederLaura Rowe
Mar 29, 2005·Journal of the Neurological Sciences·Ryuzaburo HigoNiro Tayama

❮ Previous
Next ❯

Citations

May 18, 2018·The Journal of Craniofacial Surgery·Mohammad-Esmaiil HassaniMohammad Khakzad
Oct 16, 2010·Current Opinion in Ophthalmology

❮ Previous
Next ❯

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.

Cardiomyopathy

Cardiomyopathy is a disease of the heart muscle, that can lead to muscular or electrical dysfunction of the heart. It is often an irreversible disease that is associated with a poor prognosis. There are different causes and classifications of cardiomyopathies. Here are the latest discoveries pertaining to this disease.

Related Papers

International Journal of Pediatric Otorhinolaryngology
Antonio Ysunza, Ma Carmen Pamplona
Current Opinion in Otolaryngology & Head and Neck Surgery
Mark R Rowe, Linda L D'Antonio
Current Opinion in Otolaryngology & Head and Neck Surgery
Emily F Rudnick, Kathleen C Y Sie
British Journal of Plastic Surgery
W HYNES
© 2022 Meta ULC. All rights reserved