Superiorly based pharyngeal flap and posterior pharyngeal wall augmentation

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• 作者：J. Paul Willging
• 关键词：Velopharyngeal insufficiency ; Resonance disorder ; Surgical correction
• 刊名：Operative Techniques in Otolaryngology-Head and Neck Surgery
• 出版年：2009
• 出版时间：December 2009
• 年：2009
• 卷：20
• 期：4
• 页码：268-273
• 全文大小：1385 K

文摘

Creating the structural elements necessary for velopharyngeal closure is the essential goal of surgical correction of velopharyngeal insufficiency (VPI). Collaboration with speech pathologists is essential for maximal outcome. The author describes his techniques for surgical correction of VPI using a superiorly based pharyngeal flap, the workhorse for velopharyngeal surgery. In some children with VPI, the defect is more limited, and alternative procedures, which are also described in this articles, exist to correct the resonance problem while minimizing the potential for obstructive complications associated with a pharyngeal flap.