1
40
3
-
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
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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
-
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" target="_blank" rel="noreferrer noopener">http://doi.org/10.1597/04-115</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
Cleft Palate-Craniofacial Journal
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; 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
An entity primarily responsible for making the resource
Pryor LS; Lehman J; Parker M G; Schmidt A; Fox L; Murthy AS
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" target="_blank" rel="noreferrer noopener">10.1597/04-115</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
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
-
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/10.1597/1545-1569(1995)032%3C0025:tocpaw%3E2.3.co;2" target="_blank" rel="noreferrer noopener">http://doi.org/10.1597/1545-1569(1995)032%3C0025:tocpaw%3E2.3.co;2</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
25-29
Issue
1
Volume
32
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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
Treatment Of Cleft-palate Associated With Robin-sequence - Appraisal Of Risk-factors
Publisher
An entity responsible for making the resource available
Cleft Palate-Craniofacial Journal
Date
A point or period of time associated with an event in the lifecycle of the resource
1995
1995-01
Subject
The topic of the resource
airway-obstruction; anomalad; cleft palate; Dentistry; management; Oral Surgery & Medicine; robin sequence; sleep-apnea; speech; Surgery
Creator
An entity primarily responsible for making the resource
Lehman J A; Fishman J R A; Neiman G S
Description
An account of the resource
Mandibular hypoplasia, airway obstruction, and a typical wide U-shaped cleft palate comprise the Robin sequence, Although much has been written regarding the treatment of these patients in the neonatal period, the literature reveals little information regarding later care of the cleft palate in these patients, The purpose of this study is to examine patients with the Robin sequence and evaluate the risk of postsurgical problems and outcome related to the neonatal period. Thirty-six patients with the Robin sequence presenting from 1972 through 1990 were reviewed, A majority of patients had feeding and respiratory difficulties, to varying degrees, following birth, These problems were treated successfully by maneuvers ranging from positioning to two infants who eventually required tracheostomy Thirty-four patients had palate repair, Age at repair averaged 16.2 months, and one third of patients had associated anomalies, Infants who experienced problems following palatoplasty were those who had histories of severe difficulties and complications in the early months of life, In addition, patients with associated congenital anomalies had significantly more problems at the time of palate repair than those without anomalies, Those patients with the Robin sequence, who historically had minimal difficulty following birth, experienced few complications at the time of palate repair, Of the 34 patients with repaired palates, 23 demonstrated sufficient follow-up to allow for evaluation of speech outcome, Satisfactory or normal speech production was noted in 65.4%, This is not significantly different from that observed in all patients undergoing cleft palate repair during this same time period (74.9%), Secondary pharyngoplasty procedures were required in 17.4%, An overall complication rate of 29.4% was noted with palatal fistula occurring in 11.8%, Examination of an infant's immediate postnatal period, as well as for the presence of associated anomalies, will provide important predictive information on the potential difficulties following cleft palate repair, In addition, palatoplasty, as part of the overall team approach to the cleft patient, results in a satisfactory speech outcome in approximately two thirds of patients with the Robin sequence.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1597/1545-1569(1995)032%3C0025:tocpaw%3E2.3.co;2" target="_blank" rel="noreferrer noopener">10.1597/1545-1569(1995)032%3C0025:tocpaw%3E2.3.co;2</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article or Conference Abstract Publication
1995
airway-obstruction
anomalad
Cleft Palate
Cleft Palate-Craniofacial Journal
Dentistry
Fishman J R A
Journal Article or Conference Abstract Publication
Lehman J A
Management
Neiman G S
Oral Surgery & Medicine
robin sequence
sleep-apnea
Speech
Surgery