Effect of central inset pharyngeal flap for velopharyngeal insufficiency on eustachian tube function

Objectives/Hypothesis The aim of this study was to assess the effect of the central inset pharyngeal flap, used for correcting persistent velopharyngeal incompetence after cleft palate repair, on Eustachian tube (ET) function. Methods This study included 28 patients who were diagnosed with persisten...

Full description

Saved in:
Bibliographic Details
Published in:The Laryngoscope 2015-07, Vol.125 (7), p.1729-1732
Main Authors: El-Anwar, Mohammad Waheed, Amer, Hazem Saeed, Elnashar, Ismail, Khazbak, Alaa Omar, Khater, Ahmed
Format: Article
Language:English
Subjects:
Adolescent
Audiometry
Child
Ear diseases
Eardrum
Ears & hearing
Endoscopy - methods
Eustachian Tube - physiopathology
Eustachian tube dysfunction
Female
Follow-Up Studies
Hearing - physiology
Humans
Laryngoplasty - methods
Male
nasoendoscopy
otitis media with effusion
pharyngeal flap
Pharynx - surgery
Retrospective Studies
Surgical Flaps
Treatment Outcome
tympanometry
Velopharyngeal Insufficiency - physiopathology
Velopharyngeal Insufficiency - surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objectives/Hypothesis The aim of this study was to assess the effect of the central inset pharyngeal flap, used for correcting persistent velopharyngeal incompetence after cleft palate repair, on Eustachian tube (ET) function. Methods This study included 28 patients who were diagnosed with persistent velopharyngeal insufficiency following primary cleft palate repair, together with otitis media with effusion (OME) and/or ET dysfunction that failed to improve after the primary palatoplasty and extensive medical treatment. Diagnosis of velopharyngeal insufficiency (VPI) in these cases was performed by video nasoendoscopy and speech assessment. Prior to and after surgery, patients were assessed through otoscopic, tympanometric, and audiometric evaluation. Results All postoperative otoscopic findings were significantly better than preoperative (P  0.05). Postoperative tympanometry revealed type A curve (normal) in 30 ears (53.6%), with significant improvement in ET function after this type of flap (P 
ISSN:0023-852X
1531-4995
DOI:10.1002/lary.25106