Faculty Collaboration Database

Unilateral Orticochea Pharyngoplasty for Unilateral Velopharyngeal Dysfunction: Long-Term Outcomes Data. J Craniofac Surg 2018 Jun;29(4):946-948

Date

03/01/2018

Pubmed ID

29489577

DOI

10.1097/SCS.0000000000004418

Scopus ID

2-s2.0-85048139402 (requires institutional sign-in at Scopus site)   1 Citation

Abstract

A unilateral deficit in velopharyngeal closure during speech production is an unusual presentation of velopharyngeal dysfunction (VPD) and few solutions have been described for this problem. This report details the long-term outcomes using this technique. We performed a retrospective chart review of all the patients who underwent a unilateral Orticochea pharyngoplasty for VPD. The authors identified 10 patients treated with 11 unilateral pharyngoplasty at a single tertiary care institutional setting. The mean age at repair was 8.6 years. The mean length of follow-up was 7.6 years. All the patients demonstrated improvement in velopharyngeal closure and speech resonance with 4 showing complete resolution of VPD. There were no revisions required or complications. One patient, after 10.7 years, required a unilateral procedure on the contralateral side which resulted in complete resolution of VPD postoperatively.

Author List

Klement KA, Black JS, Vanlue MJ, Denny AD

Author

Kristen Ann Klement MD Associate Professor in the Plastic Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Child
Humans
Oral Surgical Procedures
Pharynx
Retrospective Studies
Speech
Treatment Outcome
Velopharyngeal Insufficiency