Long-term effects of pharyngeal flaps on the Upper airways of subjects with velopharyngeal insufficiency

Cleft Palate-Craniofacial Journal

Volumn 45, Issue 4, 2008, Pages 364-370

  Yamashita, Renata Paciello ^a   Trindade, Inge Elly Kiemle ^a  

^a UNIVERSITY OF SÃO PAULO   (Brazil)

Author keywords

Airway obstruction; Cleft palate; Rhinomanometry

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; CLEFT PALATE; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MOUTH BREATHING; OUTCOME ASSESSMENT; PALATOPHARYNGEAL INCOMPETENCE; PHARYNX SURGERY; PLASTIC SURGERY; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; PROSPECTIVE STUDY; RHINOMANOMETRY; SCHOOL CHILD; SELF REPORT; SNORING; STATISTICAL SIGNIFICANCE; UPPER RESPIRATORY TRACT OBSTRUCTION;

ADOLESCENT; ADULT; CHILD; CLEFT PALATE; FEMALE; HUMANS; MALE; MIDDLE AGED; MOUTH BREATHING; NASAL OBSTRUCTION; NASOPHARYNX; NOSE; ORAL SURGICAL PROCEDURES; PROSPECTIVE STUDIES; RECONSTRUCTIVE SURGICAL PROCEDURES; RHINOMANOMETRY; SNORING; SURGICAL FLAPS; VELOPHARYNGEAL INSUFFICIENCY;

EID: 48649083998     PISSN: 10556656     EISSN: 15451569     Source Type: Journal    
DOI: 10.1597/07-031.1     Document Type: Article

References (52)

1. Brondsted K, Liisberg WB, Orsted A, Prytz S, Fogh-Andersen P. Surgical and speech results following palatopharyngoplasty operations in Denmark 1959-1977. Cleft Palate J. 1984;21:170-179.
2. Bzoch KR. The effects of a specific pharyngeal flap operation upon the speech of forty cleft palate persons. J Speech Hear Disord. 1964;29:111-120.
3. Cable BB, Canady JW, Karnell MP, Karnell LH, Malick DN. Pharyngeal flap surgery: long-term outcomes at the University of Iowa. Plast Reconstr Surg. 2004;113:475-478.
4. Canady JW, Cable BB, Karnell MP, Karnell LH. Pharyngeal flap surgery: protocols, complications, and outcomes at the University of Iowa. Otolaryngol Head Neck Surg. 2003;129:321-326.
5. Caouette-Laberge L, Egerszegi EP, Remont AM, Ottenseyer I. Long-term follow-up after division of a pharyngeal flap for severe nasal obstruction. Cleft Palate Craniofac J. 1992;29:27-31.
6. Cole P. The mouth and throat. In: Cole P. The Respiratory Role of the Upper Airways: A Selective Clinical and Pathophysiological Review. St. Louis, MO: Mosby; 1993:61-90.
7. Dalston RM, Warren DW, Dalston ET. A preliminary study of nasal airway patency and its potential effect on speech performance. Cleft Palate Craniofac J. 1992;29:330-335.
8. De Serres LM, Deleyiannis FWB, Eblen LE, Gruss JS, Richardson MA, Sie KCY. Results with sphincter pharyngoplasty and pharyngeal flap. Int J Pediatr Otorhinolaryngol. 1999;48:17-25.
9. Eufinger H, Bremerich A, Eggeling V, Gellrich NC. Speech results and velopharyngeal morphology following 151 cranially based velophar-yngoplasties. Folia Phoniatr Logop. 1995;47:193-198.
10. Fukushiro AP. Análise perceptiva, nasométrica e aerodinâmica da fala de indivíduos submetidos à cirurgia de retalho faríngeo para a correção da insuficiência velofaríngea. Bauru, São Paulo, Brazil: University of São Paulo; 2007, Thesis.
11. Fukushiro AP, Trindade IEK. Nasal airway dimensions of adults with cleft lip and palate: differences among cleft types. Cleft Palate Craniofac J. 2005;42:396-402.
12. Hairfield WM, Warren DW. Dimensions of the cleft nasal airway in adults: a comparison with subjects without cleft. Cleft Palate J. 1989;26:9-13.
13. Hall CD, Golding-Kushner K, Argamaso RV, Strauch B. Pharyngeal flap surgery in adults. Cleft Palate Craniofac J. 1991;28:179-183.
14. Kravath RE, Pollak CP, Borowiecki B, Weitzman ED. Obstructive sleep apnea and death associated with surgical correction of velopharyngeal incompetence. J Pediatr. 1980;96:645-648.
15. Leanderson R, Korlof B, Nylen B, Eriksson G The age and reduction of open nasality following superiorly based velopharyngeal flap operation in 124 cases. Scand J Plast Reconstr Surg. 1974;8:156-160.
16. Lesavoy MA, Borud LJ, Thorson T, Riegelhuth ME, Berkowitz CD. Upper airway obstruction after pharyngeal flap surgery. Ann Plast Surg. 1996;36:26-32.
17. Levine NS. Invited discussion: [Upper airway obstruction after pharyngeal flap surgery]. Ann Plast Surg. 1996;36:31-32.
18. Liao YF, Chuang ML, Chen PKT, Chen NH, Yun C, Huang CS. Incidence and severity of obstructive sleep apnea following pharyngeal flap surgery in patients with cleft palate. Cleft Palate Craniofac J. 2002;39:312-316.
19. Liao YF, Noordhoff MS, Huang CS, Chen PKT, Chen NH, Yun C, Chuang ML. Comparison of obstructive sleep apnea syndrome in children with cleft palate following Furlow palatoplasty or pharyngeal flap for velopharyngeal insufficiency. Cleft Palate Craniofac J. 2004;41:152-156.
20. Meek MF, Coert JH, Hofer SO, Goorhuis-Brouwer SM, Nicolai JA. Short-term and long-term results of speech improvement after surgery for velopharyngeal insufficiency with pharyngeal flaps in patients younger and older than 6 years old: 10 year experience. Ann Plast Surg. 2003;50:13-17.
21. Morris HL, Bardach J, Jones D, Christiansen JL, Gray SD. Clinical results of pharyngeal flap surgery: the Iowa experience. Plast Reconstr Surg. 1995;95:652-662.
22. Orr WC, Levine NS, Buchanan RT. Effect of cleft palate repair and pharyngeal flap surgery on upper airway obstruction during sleep. Plast Reconstr Surg. 1987;80:226-232.
23. Owsley JQ Jr, Lawson LI, Miller ER, Harvold EP, Chierici G, Blaskfield HM. Speech results from the high attached pharyngeal flap operation. Cleft Palate J. 1970;7:306-317.
24. Peña M, Choi S, Boyajian M, Zalzal G. Perioperative airway complications following pharyngeal flap palatoplasty. Ann Otol Rhinol Laryngol. 2000;109:808-811.
25. Pensler JM, Reich DS. A comparison of speech results after the pharyngeal flap and the dynamic sphincteroplasty procedures. Ann Plast Surg. 1991;26:441-443.
26. Sampaio ACM, Trindade IEK, Genaro KF, Yamashita RP, Trindade Junior AS. Dimensões das vias aéreas na respiração de repouso: áreas nasal e nasofaríngea. In: Livro de Resumos do I Encontro Científico da Pós-Graduação do HPRLLP-USP; 1997 28-29 nov. Bauru, Brasil: Hospital de Pesquisa e Reabilitação de Lesões Lábio-Palatais, Universidade de São Paulo; 1997:31.
27. Schmelzeisen R, Hausamen JE, Loebell E, Hacki T. Long-term results following velopharyngoplasty with a cranially based pharyngeal flap. Plast Reconstr Surg. 1992;90:774-778.
28. Schulz R, Heller JC, Gens GW, Lewin M. Pharyngeal flap surgery and voice quality - factors related to success and failure. Cleft Palate J. 1973;10:166-175.
29. Shprintzen RJ. Pharyngeal flap surgery and the pediatric upper airway. Int Anesthesiol Clin. 1988;26:79-88.
30. Sirois M, Caouette-Laberge L, Spier S, Larocque Y, Egerszegi EP. Sleep apnea following a pharyngeal flap: a feared complication. Plast Reconstr Surg. 1994;93:943-947.
31. Sloan GM. Posterior pharyngeal flap and sphincter pharyngoplasty: the state of the art. Cleft Palate Craniofac J. 2000;37:112-122.
32. Smith BE, Guyette TW. Component approach for partitioning nasal airway resistance: pharyngeal flap case studies. Cleft Palate Craniofac J. 1993;30:78-81.
33. Smith BE, Skef Z, Cohen M, Dorf DS. Aerodynamic assessment of the results of pharyngeal flap surgery: a preliminary investigation. Plast Reconstr Surg. 1985;76:402-410.
34. Smith JK, Huffman WC, Lierle DM, Moll KL. Results of pharyngeal flap surgery in patients with velopharyngeal incompetence. Plast Reconstr Surg. 1963;32:493-501.
35. Subtelny JD, McCormack RM, Curtin JW, Sublny JD, Musgrave KS. Speech, intraoral air pressure, nasal airflow - before and after pharyngeal flap surgery. Cleft Palate J. 1970;7:68-90.
36. Thurston JB, Larson DL, Shanks JC, Bennett JE, Parsons RW. Nasal obstruction as a complication of pharyngeal flap surgery. Cleft Palate J. 1980;17:148-154.
37. Trindade IEK, Fukushiro AP, Yamashita RP, Sampaio ACM. Prevalence of sleep-disordered breathing in middle-aged cleft adults with pharyngeal flaps. In: Proceedings of the 10th International Congress on Cleft Palate and Related Craniofacial Anomalies. September 4-8, 2005. Durban, South Africa: International Confederation for Cleft Palate and Related Craniofacial Anomalies; 2005:171.
38. Valnicek SM, Zuker RM, Halpern LM, Roy WL. Perioperative complications of superior pharyngeal flap surgery in children. Plast Reconstr Surg. 1994;93:954-958.
39. Van Demark DR, Hardin MA. Longitudinal evaluation of articulation and velopharyngeal competence of patients with pharyngeal flaps. Cleft Palate J. 1985;22:163-172.
40. Warren DW. A quantitative technique for assessing nasal airway impairment. Am J Orthod. 1984;86:306-314.
41. Warren DW, Drake AF. Cleft nose: form and function. Clin Plast Surg. 1993;20:769-779.
42. Warren DW, Drake AF, Davis JU. Nasal airway in breathing and speech. Cleft Palate Craniofac J. 1992;29:511-519.
43. Warren DW, Dubois AB. A pressure-flow technique for measuring velopharyngeal orifice area during continuous speech. Cleft Palate J. 1964;1:52-71.
44. Warren DW, Hairfield WM, Dalston ET. The relationship between nasal airway size and nasal-oral breathing in cleft lip and palate. Cleft Palate J. 1990;27:46-52.
45. Warren DW, Trier WC, Bevin AG. Effect of restorative procedures on the nasopharyngeal airway in cleft palate. Cleft Palate J. 1974;11:367-373.
46. Watzke I, Turvey TA, Warren DW, Dalston R. Alterations in velopharyngeal function after maxillary advancement in cleft palate patients. J Oral Maxillofac Surg. 1990;48:685-689.
47. Wells MD, Vu TA, Luce EA. Incidence and sequelae of nocturnal respiratory obstruction following posterior pharyngeal flap operation. Ann Plast Surg. 1999;43:252-257.
48. Witsell DL, Drake AF, Warren DW. Preliminary data on the effect of pharyngeal flaps on the upper airway in children with velopharyngeal inadequacy. Laryngoscope. 1994;104:12-15.
49. Witt PD, D'Antonio LL. Velopharyngeal insufficiency and secondary palatal management: a new look at an old problem. Clin Plast Surg. 1993 20:707-721.
50. Ysunza A, Garcia-Velasco M, Garcia-Garcia M, Haro R, Valencia M. Obstructive sleep apnea secondary to surgery for velopharyngeal insufficiency. Cleft Palate Craniofac J. 1993;30:387-390.
51. Zajac DJ. Speech aerodynamics of cleft palate. In: Rummer AW, ed. Cleft Palate and Craniofacial Anomalies: The Effects on Speech and Resonance. San Diego: Singular; 2001:331-358.
52. Zuiani TBB, Trindade IEK, Yamashita RP, Trindade Junior AS. The pharyngeal flap surgery in patients with velopharyngeal insufficiency: perceptual and nasometric speech assessment. Braz J Dysmorphol Speech Disord. 1998;2:31-42.