Best David L, Yau Vicky, Mañon Victoria, Noto Shannon, Perry Robert J
Atlanta Oral and Maxillofacial Surgery, Atlanta, GA, USA.
Division of Oral and Maxillofacial Surgery, Mount Sinai Hospital, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Cleft Palate Craniofac J. 2024 Dec 8:10556656241305227. doi: 10.1177/10556656241305227.
Velopharyngeal insufficiency (VPI) is common in patients with a repaired cleft palate. 18% to 20% of patients who undergo superiorly based pharyngeal flap for VPI may require a revision procedure due to persistent hypernasality. One solution to persistent VPI is flap revision, but there is a paucity of revision techniques described in the literature. We present a novel technique for pharyngeal flap revision utilizing a V-to-Y procedure to tighten the lateral pharyngeal ports.
腭咽闭合不全（VPI）在腭裂修复术后的患者中很常见。接受基于上方的咽瓣修复VPI的患者中，18%至20%可能因持续性鼻音过重而需要进行修复手术。持续性VPI的一种解决方法是咽瓣修复，但文献中描述的修复技术较少。我们提出一种利用V-Y手术收紧咽侧孔的新型咽瓣修复技术。
