Comparison between two types of pharyngeal flap with regard to configuration at rest and function and speech outcome

Cleft Palate-Craniofacial Journal

Volumn 36, Issue 2, 1999, Pages 154-165

  Karling, Jonas ^a   Henningsson, Gunilla ^a   Larson, Ola ^a   Isberg, Annika ^b  

^a KAROLINSKA UNIVERSITY HOSPITAL   (Sweden)

^b UMEÅ UNIVERSITY   (Sweden)

Author keywords

Hypernasality; Lateral pharyngeal wall movements; Nasopharyngoscopy; Pharyngeal flap; Postoperative snoring; Speech; Velopharyngeal insufficiency; Videoradiography

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; CHILD; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DIAGNOSTIC IMAGING; FEMALE; FUNCTIONAL ASSESSMENT; HUMAN; IMAGE ANALYSIS; INTERMETHOD COMPARISON; MALE; PALATOPHARYNGEAL INCOMPETENCE; PATIENT SELECTION; PHARYNX RECONSTRUCTION; PRIORITY JOURNAL; SPEECH ANALYSIS; SURGICAL TECHNIQUE; TISSUE FLAP; TREATMENT INDICATION; TREATMENT OUTCOME;

ADOLESCENT; ADULT; ARTICULATION DISORDERS; CHILD; CHILD, PRESCHOOL; ENDOSCOPY; FEMALE; HUMANS; MALE; MIDDLE AGED; NASOPHARYNX; OBSERVER VARIATION; PALATE, SOFT; PHARYNX; PROSPECTIVE STUDIES; SURGICAL FLAPS; VELOPHARYNGEAL INSUFFICIENCY; VIDEOTAPE RECORDING; VOICE DISORDERS;

EID: 0033038131     PISSN: 10556656     EISSN: None     Source Type: Journal    
DOI: 10.1597/1545-1569(1999)036<0154:CBTTOP>2.3.CO;2     Document Type: Article

References (36)

1. Argamaso R. The pharyngeal flap. In: Kernahan D, Rosenstein S, eds. Cleft Lip and Palate: A System of Management. Baltimore: Williams and Wilkins, 1990:263-269.
2. Argamaso R, Shprintzen R, Strauch B, Lewin M, Daniller A, Ship A, Croft D. The role of lateral pharyngeal wall movement in pharyngeal flap surgery. Plast Reconstr Surg 1980;66:214-219.
3. Behlfelt K, Linder-Aronson S, McWilliam J. Tonsillectomy: effect on the posture of dentition and the craniofacial morphology. Kieferorthopädische Mitteilungen 1990a;2:29-45.
4. Behlfelt K, Linder-Aronson S, McWilliam J, Neander P, Laage-Hellman J-E. Cranio-facial morphology in children with and without enlarged tonsils. Eur J Orthod 1990b;12:233-243.
5. Croft C, Shprintzen R, Rakoff S. Patterns of velopharyngeal valving in normal and cleft palate subjects: a multi-view videofluoroscopic and nasendoscopic study. Laryngoscope 1981;91:265-271.
6. Daniel W. Biostatistics: A Foundation for Analysis in Health Sciences. New York: John Wiley and Sons; 1978.
7. Golding-Kushner K, Argamaso R, Cotton R, Grames L, Henningsson G, Jones D, Karnell M, Klaiman P, Lewin M, Marsh J, McCall G, McGrath C, Muntz H, Nevdahl M, Rakoff S, Shprintzen R, Sidoti E, Vallino L, Volk M, Williams W, Witzel MA, Dixon Wood V, Ysunza A, D'Antonio L, Isberg A, Pigott R, Skolnick L. Standardization for the reporting of nasopharyngoscopy and multiview videofluoroscopy: a report from an International Working Group. Cleft Palate J 1990;27:337-347.
8. Henningsson G, Isberg A. Velopharyngeal movement patterns in patients alternating between oral and glottal articulation: a clinical and cineradiographical study. Cleft Palate J 1986;23:1-9.
9. Henningsson G, Isberg A. Influence of palatal fistulae on speech and resonance. Folia Phoniatr Logop 1987;39:183-191.
10. Henningsson G, Isberg A. Influence of tonsils on velopharyngeal movements in children with craniofacial anomalies and hypernasality. Am J Orthod Dentofacial Orthop 1988;94:253-261.
11. Isberg A, Henningsson G. Influence of palatal fistulas on velopharyngeal movements: a cineoradiographic study. Plast Reconstr Surg 1987;79:525-530.
12. Isshiki N, Honjow I, Morimoto M. Cineradiographic analysis of movement of the lateral pharyngeal wall. Plast Reconstr Surg 1969;44:357-363.
13. Karling J, Henningsson G, Larson O. Oronasal fistulas in cleft palate patients and their influence on speech. Scand Plast Reconstr Hand Surg 1993a;27: 103-201.
14. Karling J, Larson O, Leanderson R, Galyas K, De Serpa-Leitão A. NORAM -an instrument used in the assessment of hypernasality: a clinical investigation. Cleft Palate Craniofac J 1993b;30:135-140.
15. Karling J, Lohmander A, De Serpa-Leitão A, Galyas K, Larson O. NORAM: calibration and operational advice for measuring nasality in cleft palate patients. Scand J Plast Reconstr Surg 1985;19:261-267.
16. Karnell M, Ibuki K, Morris H, Van Demark D. Reliability of the nasopharyngeal fiberscpope (NPF) for assessing velopharyngeal function: analysis by judgment. Cleft Palate J 1983;20:199-208.
17. Kelsey C, Ewanowski S, Crummy A, Bless D. Lateral pharyngeal-wall motion as a predictor of surgical success in velopharyngeal insufficiency. N Engl J Med 1972;287:64-68.
18. Lewis M, Pashayan H. The effects of pharyngeal flap surgery on lateral pharyngeal wall motion: a videoradiographic evaluation. Cleft Palate J 1980; 17:301-304.
19. Linder-Aronson S. Effects of adenoidectomy on the dentition and facial skeleton over a period of five years. In: Cook J, ed. Transaction of the Third IOC. London: Crosby Lockwood Staples, 1975:85-100.
20. Morris H, Spriestersbach C. The pharyngeal flap as a speech mechanism. Plast Reconstr Surg 1967;39:66-70.
21. Nylén B. Cleft palate and speech. A surgical study including observations on velopharyngeal closure during connected speech, using synchronized cineradiography and sound spectography. Acta Radiol 1961;203(Suppl):35.
22. Peat B, Albery E, Jones K, Pigott R. Tailoring velopharyngeal surgery: the influence of etiology and type of operation. Plast Reconstr Surg 1994;93: 948-953.
23. Pigott R. The results of nasopharyngoscopic assessment of pharyngoplasty. Scand J Plast Reconstr Surg 1974;8:148-152.
24. Pigott R. Objectives for cleft palate repair. Ann Plast Surg 1987;19:247-259.
25. Ren Y-F, Isberg A, Henningsson G. The influence of pharyngeal flap on facial growth. Long term results in the patients with isolated cleft palate. Scand J Plast Reconstr Hand Surg 1994;28:63-68.
26. Schmelzeisen R, Hausamen J-E, Loebell E, Hacki T. Long-term results following velopharyngoplasty with a cranially based pharyngeal flap. Plast Reconstr Surg 1992;90:774-778.
27. Shprintzen R, Lewin M, Croft Ch, Daniller A, Argamaso R, Ship A, Strauch B. A comprehensive study of pharyngeal flap surgery: tailor made flaps. Cleft Palate J 1979;16:46-55.
28. Shprintzen R, McCall G, Skolnick L. The effect of pharyngeal flap surgery on the movements of the lateral pharyngeal walls. Plast Reconstr Surg 1980; 66:570-573.
29. Skolnick L, McCall G. Velopharyngeal competence and incompetence following pharyngeal flap surgery: video-fluoroscopic study in multiple projections. Cleft Palate J 1972;9:1-12.
30. Skolnick L, Shprintzen R, McCall G, Rakoff S. Patterns of velopharyngeal closure in subjects with repaired cleft palate and normal speech. Cleft Palate J 1975;12:369-376.
31. Subtelny D. A cephalometric study of the growth of the soft palate. Plast Reconstr Surg 1957;19:49-62.
32. Subtelny D. A longitudinal study of maxillary growth following pharyngeal-flap surgery. Cleft Palate J 1978;15:118-131.
33. Van Demark D, Hardin M. Longitudinal evaluation of articulation and velopharyngeal competence of patients with pharyngeal flaps. Cleft Palate J 1985;22:163-172.
34. Witzel MA, Posnick J. Patterns and location of velopharyngeal valving problems: atypical findings on video nasopharyngoscopy. Cleft Palate J 1989; 26:63-67.
35. Witzel MA, Tobe J, Salyer K. The use of videonasopharyngoscopy for biofeedback therapy in adults after pharyngeal flap surgery. Cleft Palate J 1989; 26:129-134.
36. Yoshida H, Stella J, Ghali G, Epker B. The modified superiorly based pharyngeal flap. Part IV. Position of the base of the flap. Oral Surg Oral Med Oral Pathol 1992;73:13-18.