Management of Persistent Hypernasality After Pharyngeal Flap by Revision Palatoplasty With Use of MRI to Aid Surgical Decision Making.

IF 1.1 4区医学 Q2 Dentistry

Cleft Palate-Craniofacial Journal Pub Date : 2024-12-18 DOI:10.1177/10556656241307740

Jessica L Chee-Williams, Jamie L Perry, Davinder J Singh, Erik M Verhey, Thomas J Sitzman

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引用次数: 0

Abstract

Objective: Describe surgical decision making and outcomes in a series of patients with persistent VPI after pharyngeal flap placement that were all treated with revision palatoplasty.

Design: Retrospective, case series.

Participants: Five patients with nonsyndromic cleft palate and persistent hypernasality following a pharyngeal flap. On MRI, 3 patients presented with an incohesive levator veli palatini muscle, and 4 patients had a pharyngeal flap that was below the palatal plane.

Interventions: One patient underwent straight-line intravelar veloplasty (IVVP), 2 patients underwent pharyngeal flap take-down and IVVP, and 2 patients underwent pharyngeal flap take-down and palate lengthening with buccal myomucosal flaps.

Main outcome measure: Pre- and postoperative resonance.

Results: Four of five patients (80%) achieved normal resonance 12 months postoperation.

Conclusions: Revision palatoplasty may be an effective approach for treating patients with persistent hypernasality following a pharyngeal flap. MRI may aid in surgical selection based on patient-specific anatomical findings.

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利用核磁共振成像辅助手术决策，通过腭成形术翻修术治疗咽瓣术后持续性鼻音过重。

目的：描述一系列咽瓣置入术后持续性VPI患者的手术决策和结果。设计：回顾性，案例系列。参与者：5例非综合征性腭裂和咽瓣术后持续性鼻音过高的患者。在MRI上，3例患者表现为腭腭提肌不粘连，4例患者有腭平面以下的咽瓣。干预措施：1例行直线行内速度成形术（IVVP）， 2例行咽瓣取下及IVVP， 2例行咽瓣取下及颊肌粘膜瓣延长腭。主要观察指标：术前和术后共振。结果：5例患者中4例（80%）术后12个月共振正常。结论：改良腭成形术可能是治疗咽瓣术后持续性鼻高的有效方法。MRI可以根据患者的具体解剖结果帮助选择手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cleft Palate-Craniofacial Journal DENTISTRY, ORAL SURGERY & MEDICINE-SURGERY

CiteScore

2.20

自引率

36.40%

发文量

审稿时长

4-8 weeks

期刊介绍： The Cleft Palate-Craniofacial Journal (CPCJ) is the premiere peer-reviewed, interdisciplinary, international journal dedicated to current research on etiology, prevention, diagnosis, and treatment in all areas pertaining to craniofacial anomalies. CPCJ reports on basic science and clinical research aimed at better elucidating the pathogenesis, pathology, and optimal methods of treatment of cleft and craniofacial anomalies. The journal strives to foster communication and cooperation among professionals from all specialties.