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Text
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URL Address
<a href="http://doi.org/10.1597/04-115" target="_blank" rel="noreferrer noopener">http://doi.org/10.1597/04-115</a>
Pages
222–225
Issue
2
Volume
43
Dublin Core
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Title
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Outcomes in pharyngoplasty: a 10-year experience.
Publisher
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Cleft Palate-Craniofacial Journal
Date
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2006
2006-03
Subject
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Adult; Female; Male; Ohio; Child; Infant; Risk Factors; Prospective Studies; Age Factors; Sex Factors; Hospitals; Sample Size; Reoperation; Speech; Confidence Intervals; Human; Descriptive Statistics; Middle Age; Adolescence; Retrospective Design; T-Tests; Surgical Flaps; Preschool; Treatment Outcomes; Record Review; Cleft Lip; Cleft Palate; Pediatric – Ohio; Mouth Abnormalities – Surgery; Pharyngeal Diseases – Surgery; Pharynx – Surgery
Creator
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Pryor LS; Lehman J; Parker M G; Schmidt A; Fox L; Murthy AS
Description
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Objective: The outcomes of 61 patients who underwent a pharyngoplasty for velopharyngeal insufficiency were reviewed to determine potential risk factors for reoperation.Design: This was a retrospective chart review of 61 consecutive patients over approximately 10 years (1993 to 2003). Variables analyzed included gender, cleft type, age at the time of pharyngoplasty, length of time between palate repair and pharyngoplasty, and associated syndromes.Participants: Of the 61 patients, 20 (34%) had a unilateral cleft lip and palate, 5 (8%) had a bilateral cleft lip and palate, 13 (21%) had an isolated cleft palate, 7 (11%) had a submucous cleft palate, and 16 (26%) were diagnosed with noncleft velopharyngeal insufficiency.Results: Of the 61 patients, 10 (16%) required surgical revision. No statistically significant difference was found among gender, cleft type, age at the time of pharyngoplasty, the length of time between palate repair and pharyngoplasty, and associated congenital syndromes, with respect to the need for surgical revision (p \textgreater .05). Of the surgical revisions, 50% (5) were performed for a pharyngoplasty that was placed too low.Conclusions: Because 50% of the pharyngoplasty revisions had evidence of poor velopharyngeal closure and associated hypernasality resulting from low placement of the sphincter, the pharyngoplasty needs to be placed at a high level to reduce the risk for revisional surgery. The pharyngoplasty is a good operation for velopharyngeal insufficiency with an overall success rate of 84% (51 of 61) after one operation and greater than 98% (60 of 61) after two operations.
Identifier
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<a href="http://doi.org/10.1597/04-115" target="_blank" rel="noreferrer noopener">10.1597/04-115</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2006
Adolescence
Adult
Age Factors
Child
Cleft Lip
Cleft Palate
Cleft Palate-Craniofacial Journal
Confidence Intervals
Descriptive Statistics
Female
Fox L
Hospitals
Human
Infant
Lehman J
Male
Middle Age
Mouth Abnormalities – Surgery
Murthy AS
Ohio
Parker M G
Pediatric – Ohio
Pharyngeal Diseases – Surgery
Pharynx – Surgery
Preschool
Prospective Studies
Pryor LS
Record Review
Reoperation
Retrospective Design
Risk Factors
Sample Size
Schmidt A
Sex Factors
Speech
Surgical Flaps
T-Tests
Treatment Outcomes