Comparison of resonance outcomes after pharyngeal flap and furlow double-opposing z-plasty for surgical management of velopharyngeal incompetence

Scott A Dailey; Michael P Karnell; Lucy Hynds Karnell; John W Canady

doi:10.1597/04-118r.1

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Comparison of resonance outcomes after pharyngeal flap and furlow double-opposing z-plasty for surgical management of velopharyngeal incompetence

Journal article

Peer reviewed

Comparison of resonance outcomes after pharyngeal flap and furlow double-opposing z-plasty for surgical management of velopharyngeal incompetence

Scott A Dailey, Michael P Karnell, Lucy Hynds Karnell and John W Canady

The Cleft palate-craniofacial journal, Vol.43(1), pp.38-43

01/2006

DOI: 10.1597/04-118r.1

PMID: 16405372

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Abstract

The purpose of this study was to test the hypothesis that no significant difference exists in the speech outcomes between patients with severe velopharyngeal incompetence (VPI) who receive a pharyngeal flap and patients with less severe VPI who receive a Z-plasty for management of VPI. This retrospective study from 1993 to 2002 included a review of pre- and postoperative perceptual speech and resonance assessments of patients with marginal VPI who received a Furlow double-opposing Z-plasty and patients with VPI who received a pharyngeal flap. All patients had surgical management of VPI at the Cleft Palate-Craniofacial Clinic at University of Iowa Hospitals and Clinics. Both groups benefited from surgery with significant reduction in perceived hypernasality (p < .001). Comparison of postoperative assessments indicated no difference between the groups in hypernasality or hyponasality ratings. Neither group had a significant increase in hyponasality. Both pharyngeal flap and double-opposing Z-plasty proved equally effective at reducing hypernasality when the selection of the surgical procedures was based on preoperative ratings of perceived hypernasality and evaluation of velopharyngeal physiology. Severity of the VPI is an important factor when considering surgical management of VPI. Thorough preoperative evaluations of patients with VPI are essential in appropriate treatment planning.

Palate, Soft - physiopathology

Pharynx - physiopathology

Surgical Flaps

Speech Disorders - therapy

Humans

Pharynx - surgery

Reconstructive Surgical Procedures - methods

Child, Preschool

Male

Treatment Outcome

Fluoroscopy

Velopharyngeal Insufficiency - surgery

Speech Perception - physiology

Speech - physiology

Adolescent

Adult

Female

Retrospective Studies

Voice Quality - physiology

Endoscopy

Child

Velopharyngeal Insufficiency - physiopathology

Details

Title: Subtitle: Comparison of resonance outcomes after pharyngeal flap and furlow double-opposing z-plasty for surgical management of velopharyngeal incompetence
Creators: Scott A Dailey - University of Iowa Hospitals and Clinics, Department of Otolaryngology-Head and Neck Surgery, Iowa 52242-1078, USA. scott-dailey@uiowa.edu
Michael P Karnell
Lucy Hynds Karnell
John W Canady
Resource Type: Journal article
Publication Details: The Cleft palate-craniofacial journal, Vol.43(1), pp.38-43
DOI: 10.1597/04-118r.1
PMID: 16405372
NLM abbreviation: Cleft Palate Craniofac J
ISSN: 1055-6656
eISSN: 1545-1569
Publisher: United States
Language: English
Date published: 01/2006
Academic Unit: Communication Sciences and Disorders; Craniofacial Anomalies Research Center; Otolaryngology
Record Identifier: 9984006404402771

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