Surgical Management of Velopharyngeal Dysfunction.

Document Type

Article

Publication Date

2-2024

Identifier

DOI: 10.1016/j.fsc.2023.06.007

Abstract

Velopharyngeal dysfunction (VPD) is caused by inadequate closure of the velopharyngeal port. VPD can hinder a child's ability to communicate and can impact his/her quality of life. Evaluation of children with VPD is often completed in a multidisciplinary setting and often involves studies that allow for the visualization of the velopharyngeal closure during voluntary speech (ie, nasopharyngoscopy). Multiple surgical options exist for the treatment of VPD including pharyngeal flap, sphincter pharyngoplasty, buccal myomucosal flaps, Furlow palatoplasty, palate re-repair, intravelar veloplasty, and injection pharyngoplasty. Each speech surgery has its unique benefits and drawbacks and the decision on which surgery to recommend should be tailored to each patient's specific needs and weighing the risk/benefit profile for their specific surgeries.

Journal Title

Facial plastic surgery clinics of North America

Volume

32

Issue

1

First Page

69

Last Page

83

MeSH Keywords

Female; Child; Humans; Male; Quality of Life; Plastic Surgery Procedures; Surgical Flaps

Keywords

22q11.2 deletion syndrome; Furlow palatoplasty; Hypernasal speech; Pharyngeal flap; Sphincter pharyngoplasty; Velopharyngeal dysfunction; Velopharyngeal inadequacy; Velopharyngeal insufficiency

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