The effect of sphincter pharyngoplasty on the range of velar movement

The aim of this study was to assess the mobility of the soft palate following sphincter pharyngoplasty in patients with velopharyngeal incompetence of variable aetiology. Pre- and postoperative videotape recordings of lateral view videofluoroscopy of 24 patients were retrospectively studied and comp...

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Bibliographic Details
Published in:British journal of plastic surgery 1996-09, Vol.49 (6), p.358-362
Main Authors: Georgantopoulou, A.A., Thatte, M.R., Razzell, R.E., Watson, A.C.H.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
Child
Child, Preschool
Female
Fluoroscopy
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Male
Medical sciences
Movement
Palate, Soft - physiopathology
Pharynx - surgery
Postoperative Period
Retrospective Studies
Speech - physiology
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the upper aerodigestive tract
Treatment Outcome
Velopharyngeal Insufficiency - surgery
Videotape Recording
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Summary:The aim of this study was to assess the mobility of the soft palate following sphincter pharyngoplasty in patients with velopharyngeal incompetence of variable aetiology. Pre- and postoperative videotape recordings of lateral view videofluoroscopy of 24 patients were retrospectively studied and compared with regard to the range of velar movement. Tracings of the velopharyngeal port were made on acetate paper directly from the television monitor and absolute angle measurements were taken. Analysis of the results showed a highly significant increase in the range of palatal movement postoperatively. There was no evidence of correlation between the magnitude of the increase and the postoperative improvement in speech. The findings and their implications are discussed.
ISSN:0007-1226
1465-3087
DOI:10.1016/S0007-1226(96)90003-X