Surgical result of velopharyngeal insufficiency
- Author:
Erdenetsogt J
1
;
Ayanga G
2
;
Batbayar B
2
;
Khentii L
2
Author Information
1. Mongolian National University of Medical Science, National Center for Maternal Child Health
2. National Center for Maternal Child Health
- Publication Type:Journal Article
- Keywords:
Cleft palate;
hypernasality;
nasoendoscopy;
palatoplasty;
pharyngoplasty
- From:Mongolian Journal of Obstetrics, Gynaecology and Pediatrics
2022;32(2):2328-2333
- CountryMongolia
- Language:Mongolian
-
Abstract:
Surgical result of velopharyngeal insufficiency:Background: The main purpose of primary cleft palate (CP) repair is to reconstruct anatomical structure with minimal impairment of maxillary growth and normalize velopharyngeal function and feeding process. One of the most common complications after the primary CP repair is velopharyngeal insufficiency (VPI), which leads to the subsequent surgery. The velopharyngeal function assessment characterizes speech development in children. Researches noted that VPI causes in 5-86% after primary CP repair. Early diagnosis of VPI and prompt surgical treatment are essential to prevent the development of speech disorders in children.
Methods and Material: A retrospective longitudinal study was completed. The patients who diagnosed VPI after primary CP repair in the Department of Maxillo-facial surgery of the National Center for Maternal and Child Healt and had velopharyngeal function assessment were recruited to the study. The results were compared with pre and postoperative nasopharyngoscopy ratio.
Results: A total of 133 patients with VPI were included: 75.9% had Furlow Z plasty, 24.1% had pharyngeal flap surgery. The patients ranged in age from 3 years 6 months to 17 years. VPI ratio was 17.3% - severe, 19.5% - moderate. Postoperative VPI ratio were 97.0% normal in the Furlow group and 84.4% in the pharyngeal surgery group (p=0.02). Nasal emission was 94.0% before surgery and 31.6% after surgery, a statistically significant difference (t = -14.2, p <0.0001).
Conclusions: The Furlow Z plasty and pharyngeal flap surgeries were superior for maintaining velopharyngeal function.
- Full text:2025111319042983162.Судалгаа. Эрдэнэцогт.docx
