A new operation for velopharyngeal insufficiency: the palatoglossus myomucosal pharyngoplasty.
Myomucosal flaps employing the palatoglossi were used to correct posttonsillectomy velopharyngeal insufficiency because the palatopharyngeus were resected with the posterior tonsillar pillar. This new sphincter pharyngoplasty may have a role as a secondary option for treatment of velopharyngeal insufficiency. It should be remembered that this operation has only been performed in a single patient without cleft palate, and, therefore, its application in the cleft population and its potential complication rate are unknown.
Graivier
M H
MH
Division of Plastic and Reconstructive Surgery, Los Angeles Medical Center, Calif.
Cohen
S R
SR
Kawamoto
H K
HK
Fromwiller
S
S
D000233:Adenoidectomy / Q000009:adverse effects; D002648:Child; D005260:Female; D006801:Humans; D010614:Pharynx / Q000601:surgery*; D013524:Surgical Flaps / Q000379:methods*; D014068:Tonsillectomy / Q000009:adverse effects; D014681:Velopharyngeal Insufficiency / Q000209:etiology / Q000601:surgery*