Document Detail


The modified Honig velopharyngoplasty - a new technique to treat hypernasality by palatal lengthening.
MedLine Citation:
PMID:  18249165     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Palatal lengthening by pushback with a pharyngeal flap is a commonly used operative technique for the treatment of velopharyngeal insufficiency. The conventional Honig velopharyngoplasty uses full thickness mucoperiosteal flaps for the oral lining of the defect. PURPOSE: A modification is described using only mucosal flaps, thus preserving the periosteum and the palatine arteries. Vascularisation of the hard palate is preserved and bone is not exposed, avoiding potential detrimental scar formation overlying the hard palate, which may affect normal outgrowth of the maxilla. STUDY DESIGN: Eight patients with persisting hypernasality were included. Velopharyngeal closure was evaluated by nasendoscopy, nasometry and a Dutch speech test for cleft patients. RESULTS: Hypernasality was corrected in all cases. One patient developed a light hyponasality. In four patients the overall speech normalised and in the remaining four cases small errors persisted, but speech was well understandable. CONCLUSION: The procedure yields satisfactory speech results in this preliminary study, comparable to the conventional Honig velopharyngeaplasty. Long term follow up regarding maxillary growth and comparative studies with other operative techniques are now warranted.
Authors:
Aebele B Mink van der Molen; Karlijn Janssen; Tom F J M C Specken; Bart M Stubenitsky
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Publication Detail:
Type:  Evaluation Studies; Journal Article     Date:  2008-01-31
Journal Detail:
Title:  Journal of plastic, reconstructive & aesthetic surgery : JPRAS     Volume:  62     ISSN:  1878-0539     ISO Abbreviation:  -     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-04-24     Completed Date:  2009-06-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101264239     Medline TA:  J Plast Reconstr Aesthet Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  646-9     Citation Subset:  IM    
Affiliation:
UMCU, Department of Pediatric Plastic Surgery, Utrecht, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Child
Child, Preschool
Cleft Palate / surgery
Female
Humans
Male
Mouth Mucosa / surgery
Palate, Hard / surgery
Palate, Soft / surgery
Speech Intelligibility
Speech Production Measurement
Surgical Flaps*
Velopharyngeal Insufficiency / complications,  surgery*
Voice Disorders / etiology,  surgery*
Voice Quality

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


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