An audit of velopharyngeal incompetence treated by the orticochea pharyngoplasty

Submucous Cleft Palate and Velopharyngeal Insufficiency: Comparison of Speech Outcomes Using Three Operative Techniques by One Surgeon

“…Sphincter pharyngoplasty is a comparable operation for treatment of velopharyngeal insufficiency, with a reported success rate similar to that of a pharyngeal flap (78% to 90%; Riski et al, 1992; Witt et al, 1994; James et al, 1996; Witt, Marsh, et al, 1998; Orticochea, 1999; Ysunza et al, 1999; Ysunza et al, 2002; Losken et al, 2003). Nevertheless, two prospective randomized trials have shown that a pharyngeal flap is more effective, although not statistically significantly, than a sphincter pharyngoplasty (Ysunza et al, 2002; Abyholm et al, 2005).…”

Pharyngeal Flap Outcomes in Nonsyndromic Children with Repaired Cleft Palate and Velopharyngeal Insufficiency

“…19 Sphincter pharyngoplasty is a comparable secondary operation, with a reported success rate similar to that of a pharyngeal flap (78 Volume 125, Number 1 • Pharyngeal Flap Speech Outcomes to 90 percent). 32,[42][43][44][45][46][47][48] Prospective randomized trials comparing a pharyngeal flap to a sphincter have shown that a pharyngeal flap is slightly, although not statistically significantly, more effective than a sphincter pharyngoplasty. 13,32 Once thought to function as a dynamic closure, sphincter pharyngoplasty, like the pharyngeal flap, is a passive tissue obturator.…”

Posterior Pharyngeal Flap and Sphincter Pharyngoplasty: The State of the Art

“…However, only 7 (35%) of 20 patients showed complete velopharyngeal closure after pharyngoplasty, and 13 (65%) were felt to need additional surgical treatment. James et al (1996) reported their results in 54 patients treated for VPI by the Orticochea pharyngoplasty in Leicester, United Kingdom. They found decreased nasal escape in 49 patients (91%), complete elimination of nasal escape in 40 (74%), and normal vocal resonance in 46 (85%).…”