Modified orticochea pharyngoplasty for treatment of unilateral velopharyngeal incompetence.
Unilateral nasopharyngeal paralysis is a relatively rare cause of velopharyngeal incompetence. Few therapeutic modalities for this problem have been described. A modification of the orticochea sphincter pharyngoplasty was developed using only a unilateral flap for treatment of the symptoms of hypernasality and nasal reflux. This preliminary report summarizes the operative approach and the successful outcomes in 2 patients.
Bonawitz
S C
SC
Department of Plastic Surgery, Medical College of Wisconsin, Milwaukee, USA.
Conley
S F
SF
Denny
A D
AD
D000293:Adolescent; D002675:Child, Preschool; D002972:Cleft Palate / Q000150:complications / Q000601:surgery; D003680:Deglutition Disorders / Q000209:etiology / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010614:Pharynx / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D013524:Surgical Flaps / Q000379:methods; D014681:Velopharyngeal Insufficiency / Q000209:etiology / Q000601:surgery*; D014832:Voice Disorders / Q000209:etiology / Q000601:surgery