Document Detail

Abnormal carotid arteries in the velocardiofacial syndrome: a report of three cases.
MedLine Citation:
PMID:  3628565     Owner:  NLM     Status:  MEDLINE    
Internal carotid arteries of unusual size and tortuosity were found before or at the time of pharyngeal flap surgery in three children who had the velocardiofacial syndrome with velopharyngeal insufficiency. In two cases, medial displacement of the arteries prevented surgery, and in the other, hypernasality persisted because only a narrow, asymmetrical flap could be raised. Medial displacement of the internal carotid arteries inhibits surgical treatment of velopharyngeal insufficiency, necessitating treatment with a prosthetic speech device in such children. Since displacement and tortuosity may be associated findings in the velocardiofacial syndrome, the exact location of the internal carotids should be ascertained when pharyngeal flap surgery is planned.
K MacKenzie-Stepner; M A Witzel; D A Stringer; W K Lindsay; I R Munro; H Hughes
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  80     ISSN:  0032-1052     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  1987 Sep 
Date Detail:
Created Date:  1987-10-13     Completed Date:  1987-10-13     Revised Date:  2014-10-13    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  347-51     Citation Subset:  AIM; IM    
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MeSH Terms
Abnormalities, Multiple / pathology*,  radiography
Carotid Arteries / abnormalities*,  radiography
Child, Preschool
Cleft Palate / pathology*,  radiography
Facial Expression
Heart Defects, Congenital / pathology*,  radiography
Learning Disorders / pathology*
Pharynx / surgery
Prostheses and Implants
Velopharyngeal Insufficiency / pathology,  radiography,  therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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