1
40
2
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1597/04-115.1" target="_blank" rel="noreferrer noopener">http://doi.org/10.1597/04-115.1</a>
Pages
222–225
Issue
2
Volume
43
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Outcomes in pharyngoplasty: a 10-year experience.
Publisher
An entity responsible for making the resource available
The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
Date
A point or period of time associated with an event in the lifecycle of the resource
2006
2006-03
Subject
The topic of the resource
Adult; Female; Humans; Male; Middle Aged; Adolescent; Retrospective Studies; Child; Infant; Treatment Outcome; Risk Factors; Age Factors; Sex Factors; Cleft Lip/*surgery; Cleft Palate/*surgery; Pharynx/*surgery; Retreatment/statistics & numerical data; Speech; Velopharyngeal Insufficiency/*surgery; Preschool
Creator
An entity primarily responsible for making the resource
Pryor Landon S; Lehman James; Parker Michael G; Schmidt Anna; Fox Lynn; Murthy Ananth S
Description
An account of the resource
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
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1597/04-115.1" target="_blank" rel="noreferrer noopener">10.1597/04-115.1</a>
Rights
Information about rights held in and over the resource
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
Adolescent
Adult
Age Factors
Child
Cleft Lip/*surgery
Cleft Palate/*surgery
Female
Fox Lynn
Humans
Infant
Lehman James
Male
Middle Aged
Murthy Ananth S
Parker Michael G
Pharynx/*surgery
Preschool
Pryor Landon S
Retreatment/statistics & numerical data
Retrospective Studies
Risk Factors
Schmidt Anna
Sex Factors
Speech
The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
Treatment Outcome
Velopharyngeal Insufficiency/*surgery
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Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/01.sap.0000116256.01831.17" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/01.sap.0000116256.01831.17</a>
Pages
97–101
Issue
2
Volume
53
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Gynecomastia: an outcome analysis.
Publisher
An entity responsible for making the resource available
Annals of plastic surgery
Date
A point or period of time associated with an event in the lifecycle of the resource
2004
2004-08
Subject
The topic of the resource
Adolescent; Adult; Aged; Child; Gynecomastia/*surgery; Humans; Male; Middle Aged; Retrospective Studies; Treatment Outcome
Creator
An entity primarily responsible for making the resource
Wiesman Irvin M; Lehman James A Jr; Parker Michael G; Tantri M Devi Prasad; Wagner Douglas S; Pedersen John C
Description
An account of the resource
BACKGROUND: Gynecomastia refers to the presence of femalelike mammary glands in a male. This disorder can lead to significant psychologic stress and self-consciousness. This study consists of a chart review of 174 patients treated surgically between July 1, 1976, and February 27, 2001. RESULTS: Operative procedures were excision, excision with suction-assisted lipectomy (SAL), SAL, skin excision (skin) and skin excision with SAL. Overall complication rate was 20%. No significant difference in complication rates was found between grades or procedures. Revision rates between grades were I = 10.3%, II = 14.5% and III = 34.8% (P \textless 0.001). In grade III, gynecomastia revision rates for excision +/- SAL was 29% and skin +/- SAL was 38.1% (P = 0.644). Of the 8 revisions in the skin-sparing procedures, 6 were revised with a scar-forming procedure. Therefore, 77% of patients with grade III gynecomastia were adequately treated with a skin-sparing procedure. CONCLUSION: Skin-sparing operations should be the initial procedure chosen for most grade III gynecomastia patients.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/01.sap.0000116256.01831.17" target="_blank" rel="noreferrer noopener">10.1097/01.sap.0000116256.01831.17</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2004
Adolescent
Adult
Aged
Annals of plastic surgery
Child
Gynecomastia/*surgery
Humans
Lehman James A Jr
Male
Middle Aged
Parker Michael G
Pedersen John C
Retrospective Studies
Tantri M Devi Prasad
Treatment Outcome
Wagner Douglas S
Wiesman Irvin M