Chee-Williams Jessica L, Perry Jamie L, Singh Davinder J, Verhey Erik M, Sitzman Thomas J
Phoenix Children's Center for Cleft and Craniofacial, Phoenix Children's Hospital a Division of Plastic Surgery, Phoenix, AZ, USA.
Program of Speech and Hearing Science, College of Health Solutions, Arizona State University, Tempe, AZ, USA.
Cleft Palate Craniofac J. 2024 Dec 18:10556656241307740. doi: 10.1177/10556656241307740.
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.
Retrospective, case series.
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.
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.
Pre- and postoperative resonance.
Four of five patients (80%) achieved normal resonance 12 months postoperation.
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.
描述一系列咽瓣置入术后持续性腭咽闭合不全（VPI）且均接受腭成形术翻修治疗的患者的手术决策和治疗结果。
回顾性病例系列研究。
5例非综合征性腭裂且咽瓣置入后持续性鼻音过重的患者。MRI检查显示，3例患者腭帆提肌不连续，4例患者的咽瓣位于腭平面以下。
1例患者接受直线型腭内腭成形术（IVVP），2例患者接受咽瓣拆除及IVVP，2例患者接受咽瓣拆除及颊肌黏膜瓣腭延长术。
术前和术后的共鸣情况。
5例患者中有4例（80%）在术后12个月实现了正常共鸣。
腭成形术翻修可能是治疗咽瓣置入术后持续性鼻音过重患者的有效方法。MRI可根据患者特定的解剖学发现辅助手术选择。
