An algorithm for application of furlow palatoplasty to the treatment of velocardiofacial syndrome-associated velopharyngeal insufficiency

Annals of Plastic Surgery

Volumn 66, Issue 5, 2011, Pages 479-484

  Rottgers, S Alex ^a,b   Ford, Matthew ^a   Cray, James ^a,b   Smith, Darren ^a,b   Kinsella, Christopher ^a   Grunwaldt, Lorelei ^a,b   Losee, Joseph E ^a,b  

^a CHILDREN S HOSPITAL OF PITTSBURGH   (United States)

^b UNIVERSITY OF PITTSBURGH   (United States)

Author keywords

Cleft palate; Furlow palatoplasty; pharyngoplasty; velocardiofacial syndrome; velopharyngeal insufficiency

Indexed keywords

ALGORITHM; ARTICLE; COHORT ANALYSIS; COMPARATIVE STUDY; DIGEORGE SYNDROME; FEMALE; FOLLOW UP; HUMAN; INFANT; MALE; METHODOLOGY; ORAL SURGERY; PALATOPHARYNGEAL INCOMPETENCE; PLASTIC SURGERY; RETROSPECTIVE STUDY; RISK ASSESSMENT; SOFT PALATE; TREATMENT OUTCOME;

ALGORITHMS; COHORT STUDIES; DIGEORGE SYNDROME; FEMALE; FOLLOW-UP STUDIES; HUMANS; INFANT; MALE; ORAL SURGICAL PROCEDURES; PALATE, SOFT; RECONSTRUCTIVE SURGICAL PROCEDURES; RETROSPECTIVE STUDIES; RISK ASSESSMENT; TREATMENT OUTCOME; VELOPHARYNGEAL INSUFFICIENCY;

EID: 79955050248     PISSN: 01487043     EISSN: None     Source Type: Journal    
DOI: 10.1097/SAP.0b013e3182185ccb     Document Type: Conference Paper

References (20)

1. Shprintzen RJ, Siegel-Sadewitz VL, Amato J, et al. Anomalies associated with cleft lip, cleft palate, or both. Am J Med Genet. 1985;20:585-595. (Pubitemid 15148942)
2. Lipson AH, Yuille D, Thompson PG, et al. Velocariofacial (Shprintzen) syndrome: an important syndrome for the dysmorphologist to recognize. J Med Genet. 1991;28:596-604. (Pubitemid 21922666)
3. Widdershoen JC, Stubenitsky BM, Breugem CC, et al. Outcomes of velopharyngoplasty in patients with velocardiofacial syndrome. Arch Otolaryngol Head Neck Surg. 2008;134:1159-1163.
4. Losken A, Williams JK, Burstein FD, et al. Surgical correction of velopharyngeal insufficiency in children with velocardiofacial syndrome. Plast Reconstr Surg. 2006;117:1493-1497.
5. Arneja JS, Hettinger P, Gosain AK. Through-and-through dissection of the soft palate for high pharyngeal flap inset: a new technique for treatment of velopharyngeal incompetence in velocardiofacial syndrome. Plast Reconstr Surg. 2008;122:845-852.
6. Wang G, Wang K, Chen Y, et al. Sequential treatment of speech disorders in velocardiofacial syndrome patients: an 8-year retrospective evaluation. J Craniofac Surg. 2009;20:1934-1938.
7. Ysunza A, Pamplona MC, Molina F, et al. Surgical planning for restoring velopharyngeal function in velocardiofacial syndrome. Int J Pediatr Otorhinolaryngol. 2009;73:1572-1575.
8. Rouillon I, Leboulanger N, Roger G, et al. Velopharyngoplasty for noncleft velopharyngeal insufficiency results in relation to 22q11 microdeletion. Arch Otolaryngol Head Neck Surg. 2009;135:652-656.
9. Cohen PW, Grames LM, Marsh J. Sphincter pharyngoplasty for the surgical management of speech dysfunction associated with velocardiofacial syndrome. Br J Plast Surg. 1999;52:613-618.
10. Milczuk HA, Smith DS, Brockman JH. Surgical outcomes for velopharyngeal insufficiency in velocardiofacial syndrome and nonsyndromic patients. Cleft Palate Craniofac J. 2007;44:412-417. (Pubitemid 47101012)
11. Liao YF, Chuang ML, Chen PK, et al. Incidence and severity of obstructive sleep apnea following pharyngeal flap surgery in patients with cleft palate. Cleft Palate Craniofac J. 2002;39:312-316. (Pubitemid 34496492)
12. Lioa YF, Noordhoff MS, Huang CS, et al. 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. (Pubitemid 38332681)
13. Witt PD, Marsch JL, Muntz HR, et al. Acute obstructive sleep apnea as a complication of sphincter pharyngoplasty. Cleft Palate Craniofac J. 1996;33: 183-189. (Pubitemid 26152989)
14. Prada J, Nieto L, Gomez, et al. Palatoplasty as the technique of choice for prevention of obstructive sleep apnea secondary to surgery for velopharyngeal insufficiency. Cleft Palate Craniofac J. In press.
15. Losee JE, Smith DM. Chapter 12: Cleft palate repair. In: Butler CE, ed. Head and Neck Reconstruction. Philadelphia, PA: Elsevier Saunders; 2009:271-294.
16. LaRossa D, Kirschner RE, Low DW. Chapter 24: The children's hospital modification of the Furlow double-opposing Z-palatoplasty. In: Losee JE, Kirschner RE, eds. Comprehensive Cleft Care. New York, NY: McGraw-Hill; 2009:391-397.
17. Sie KC, Tampakopoulou DA, Sorom J, et al. Results with Furlow palatoplasty in management of velopharyngeal insufficiency. Plast Reconstr Surg. 2001; 108:17-25. (Pubitemid 32587018)
18. Dudas JR, Deleyiannis FW, Ford MD, et al. Diagnosis and treatment of velopharyngeal insufficiency clinical utility of speech evaluation and video-fluoroscopy. Ann Plast Surg. 2006;56:511-517. (Pubitemid 43970229)
19. Sloan GM. Posterior pharyngeal flap and sphincter pharyngoplasty: the state of the art. Cleft Palate Craniofac J. 2000;37:112-122. (Pubitemid 30152068)
20. Saint Raymond C, Bettega G, Deschaux C, et al. Sphincter pharyngoplasty as a treatment of velopharyngeal incompetence in young people: a prospective evaluation of effects on sleep structure and sleep respiratory disturbances. Chest. 2004;125:864-871. (Pubitemid 38367275)