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2020, Number 2

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Residente 2020; 15 (2)

Modification in the retropharingeal flap for velopharyngeal insufficiency with a refractory palate fistula

Araujo-López A, Barragán-Chávez JC, Pierdant-Lozano R, Azcarate-Varela JA, Caracheo-Rodríguez RS
Full text How to cite this article 10.35366/95048

DOI

DOI: 10.35366/95048
URL: https://dx.doi.org/10.35366/95048

Language: English
References: 5
Page: 72-75
PDF size: 314.38 Kb.


Key words:

Cleft, palate, posterior pharingeal flap.

ABSTRACT

Introduction: Velopharyngeal dysfunction (VPD) refers to any situation in which an individual is unable to completely close the nasal airway during speech. Case report: Male of 16 years, lip and cleft palate post operated, with a velopharingeal dysfunction and a cleft fistula. We covered by an incision closing the middle line, with a satisfactory evolution. Conclusions: The goal of surgical intervention is to produce or restore velopharyngeal competence while avoiding the complications of upper airway obstruction. Dysfunction velopharyngeal is the most frequent cause of nasal voice, and most of them have anterior palate fistula, the posterior retropharingeal flap is the best surgical option.


REFERENCES

  1. Rodriguez E, Losee J, Neligan P. Plastic surgery. Craniofacial, head, and neck surgery. 6th Volume. 3rd edition. Elsevier; 2013. Section I, Chapter 28. pp. 614-635.

  2. Woo AS. Velopharyngeal dysfunction. Semin Plast Surg. 2012; 26 (4): 170-177. doi: 10.1055/s-0033-1333882. Available in: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3706038/pdf/sps26170.pdf.

  3. Elsheikh E, El-Anwar MW. Posterior Pharyngeal Flap for Velopharyngeal Insufficiency Patients: A New L-Shaped Flap. J Craniofac Surg. 2016; 27 (1): 204-208. doi: 10.1097/SCS.0000000000002314. Avialable in: https://sci-hub.tw/10.1097/SCS.0000000000002314.

  4. El-Anwar MW, Elsheikh E, Askar S. Single-stage repair of palatal fistula and velopharyngeal incompetence by the new L flap. J Craniofac Surg. 2018; 29 (1): e70-e73. Available in: https://sci-hub.tw/10.1097/SCS.0000000000004066.

  5. Gosain AK, Arneja JS. Management of the black hole in velopharyngeal incompetence: combined use of a Furlow palatoplasty and sphincter pharyngoplasty. Plast Reconstr Surg. 2007; 119 (5): 1538-1545. doi: 10.1097/01.prs.0000256066.44095.00. Available in: https://sci-hub.tw/10.1097/01.prs.0000256066.44095.00.




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Residente. 2020;15