Prospective Analysis of Presurgical Risk Factors for Outcomes in Primary Palatoplasty

Mahoney, Mary-Helen; Swan, Marc C.; Fisher, David M.

doi:10.1097/prs.0b013e3182910acb

Cited by 89 publications

(90 citation statements)

References 26 publications

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“…The ability of the surgeon to conduct the surgical technique has been cited as an important factor in the outcome of the treatment of cleft lip and palate (6)(7)(8)(9)(10)(11) . The surgeons involved in this study were using the vL procedure as the routine surgical technique for primary repair of cleft lip and palate while they were trained to perform the F technique for the study.…”

Section: Discussionmentioning

confidence: 99%

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Nasoendoscopic findings after primary palatal surgery: can the Furlow technique result in a smaller velopharyngeal gap?

Ferreira

Dutka

Whitaker

et al. 2015

CoDAS

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PURPOSE: To compare the nasoendoscopic findings related to the velopharyngeal gap among patients with cleft palate who underwent the Furlow (F) technique and those who underwent the von Langenbeck (vL) technique for primary palatal surgery, who remained with velopharyngeal insufficiency (VPI).METHODS: The analyzed data were retrieved from the institution's data of recordings of nasoendoscopic exams. The sample comprised 70 recorded nasoendoscopic exams obtained from 22 patients who underwent the F technique and from 48 who underwent the vL technique during primary palatoplasty, who remained with VPI after surgery and were submitted to nasoendoscopy, between the ages of 5 and 15 years (mean age: 8 years), for definition of the best treatment for VPI. The images were edited into a DVD in a randomized sequence to be assessed by three experienced speech language pathologists regarding displacement and excursion of the soft palate; displacement and excursion of lateral pharyngeal's walls; displacement and excursion of the posterior pharyngeal's wall; and presence of the Passavant ridge and size and type of velopharyngeal gap.RESULTS: The results of the comparison of measurements between F and vL groups were not statistically significant.CONCLUSION: The surgical technique used in primary palatoplasty was not relevant to determine the difference in the size of the velopharyngeal gap for patients who maintained VPI.

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Section: Discussionmentioning

confidence: 99%

“…However, this proportion may increase considerably when the patients undergo surgery late in their lives, or when the choice of surgical technique did not consider circumstances relevant to speech (3,9,10) .…”

Section: Introductionmentioning

confidence: 99%

Nasoendoscopic findings after primary palatal surgery: can the Furlow technique result in a smaller velopharyngeal gap?

Ferreira

Dutka

Whitaker

et al. 2015

CoDAS

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“…The risk of palatal fistula formation is inversely proportional to surgeon experience and palatoplasty volume, while Veau Classification, cleft width at the time of primary repair (paucity of lateral tissue, excess tension), flap necrosis (injury to vascular pedicle), the presence of an upper respiratory infection at the time repair, and the presence of Treacher Collins syndrome are other contributing etiologic factors. 51,52,56,57,58 Surgical repair is advised if a fistula is clinically significant. Repair techniques include various locoregional flaps, twoflap palatoplasty, free tissue transfer (adults), or obturation (Table 68.9).…”

Section: Secondary Surgerymentioning

confidence: 99%

68 Evaluation and Management of Cleft Lip and Palate Disorders

Papel¹,

Frodel²,

Holt³

et al. 2016

Facial Plastic and Reconstructive Surgery

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The palatal shelves are initially separated by the developing tongue. Growth of the mandible is associated with inferior displacement of the tongue, which allows the palatal shelves to migrate superiorly and assume a horizontal orientation. The "shelf elevating force" that causes the upward motion of the shelves is believed to be mediated by a process involving mesenchymal proliferation and growth factor-induced changes in local extracellular matrix, including hydration of hyaluronic acid in the tips of the shelves. 5,6 If fetal development and mandibular growth do not proceed normally, the tongue does not descend and the palatal shelves cannot migrate superiorly and medially, despite the shelf elevating force. The resulting malformation can result in the Pierre Robin sequence (micrognathia, relative macroglossia, and U-shaped cleft palate) (Fig. 68.3). 7 Fig. 68.1 The developing human face at 5.5 weeks of gestational age. The primary palate is formed by fusion of the paired medial nasal prominences (a). The lateral nasal prominence (b) becomes the nasal ala. The maxillary process (c) forms the upper lip segments lateral to the philtrum. The mandibular process (d) becomes the mandible.This document was downloaded for personal use only. Unauthorized distribution is strictly prohibited.

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“…Na fissura labiopalatina a palatoplastia visa à correção morfológica do palato ao mesmo tempo em que se propõe a estabelecer potencial para fechamento velofaríngeo causando o menor impacto possível no crescimento facial (PEGORARO-KROOK et al, 2010;PANIAGUA;COLLARES;COSTA, 2010;KUMMER, 2011;KUMMER et al, 2012;MAHONEY;SWAN;FISHER, 2013;GART;GOSAIN, 2014;TIMBANG et al, 2014).…”

Section: Revisão De Literaturaunclassified

Profundidade da nasofaringe, extensão e espessura do palato mole em brasileiros com diferentes padrões faciais e sem anomalias craniofaciais

Amaral¹

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Prospective Analysis of Presurgical Risk Factors for Outcomes in Primary Palatoplasty

Abstract: Risk, III.

Cited by 89 publications

References 26 publications

Nasoendoscopic findings after primary palatal surgery: can the Furlow technique result in a smaller velopharyngeal gap?

Nasoendoscopic findings after primary palatal surgery: can the Furlow technique result in a smaller velopharyngeal gap?

68 Evaluation and Management of Cleft Lip and Palate Disorders

Profundidade da nasofaringe, extensão e espessura do palato mole em brasileiros com diferentes padrões faciais e sem anomalias craniofaciais

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