Surgical Management of Velopharyngeal Dysfunction.
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.
Facial plastic surgery clinics of North America
Female; Child; Humans; Male; Quality of Life; Plastic Surgery Procedures; Surgical Flaps
22q11.2 deletion syndrome; Furlow palatoplasty; Hypernasal speech; Pharyngeal flap; Sphincter pharyngoplasty; Velopharyngeal dysfunction; Velopharyngeal inadequacy; Velopharyngeal insufficiency
Arganbright J. Surgical Management of Velopharyngeal Dysfunction. Facial Plast Surg Clin North Am. 2024;32(1):69-83. doi:10.1016/j.fsc.2023.06.007