Document Detail

Clinical results of pharyngeal flap surgery: the Iowa experience.
MedLine Citation:
PMID:  7892309     Owner:  NLM     Status:  MEDLINE    
Sixty-five patients with cleft palate, with or without cleft lip, who received previous pharyngeal flap surgery for chronic velopharyngeal dysfunction in our department, were examined for velopharyngeal status, speech production patterns, and evidence of nasal airway obstruction. Of the 65 subjects, 54 (83.1 percent) showed velopharyngeal function within normal limits, 43 (66.1 percent) showed normal or near-normal speech production, and 58 (89.2 percent) reported snoring sometimes or often. Of the 58 reporting snoring, electrocardiogram (ECG) data for 33 were examined for evidence of right ventricular hypertrophy. Only one (3 percent) of the 33 showed such possible indication. We conclude that by our methods, pharyngeal flap surgery is an effective treatment for velopharyngeal dysfunction. After surgery, patients may report symptoms of nasal airway obstruction during sleep but are not expected to show ECG changes in cardiac function resulting from oxygen deprivation.
H L Morris; J Bardach; D Jones; J L Christiansen; S D Gray
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  95     ISSN:  0032-1052     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  1995 Apr 
Date Detail:
Created Date:  1995-04-20     Completed Date:  1995-04-20     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:  652-62     Citation Subset:  AIM; IM    
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MeSH Terms
Airway Obstruction / diagnosis,  etiology
Child, Preschool
Cleft Palate / complications,  surgery*
Hypertrophy, Left Ventricular / diagnosis,  etiology
Pharynx / surgery*
Postoperative Complications
Speech Disorders / diagnosis,  etiology
Velopharyngeal Insufficiency / complications,  surgery*

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

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