Evaluation of the sphincter pharyngoplasty.

Journal Article (Journal Article;Review)

The results of the sphincter pharyngoplasty were evaluated in 139 patients with velopharyngeal incompetence (VPI) who demonstrated active velar elevation. All patients underwent perceptual speech evaluation and lateral phonation radiographic study; select patients underwent multiview videofluoroscopic, flexible nasendoscopic, and pressure-flow studies. All but one patient demonstrated improvement and 109/139 (78.42%) demonstrated resolution of VPI. Sixteen of thirty failed pharyngoplasties were revised. Revision was successful in 8/16 patients yielding an overall success rate of 117/139 (84.17%). Success rate was 67.65 percent for patients managed during the first 5 years and improved to 84.78 percent for patients managed during the last 5 years of this 15-year series. Analysis revealed that younger patients were treated more successfully than older patients, large velopharyngeal areas were treated as successfully as smaller ones, and circular closure patterns were treated more successfully than coronal patterns. The primary cause of failure was insertion of the flap below the point of attempted velopharyngeal contact.

Full Text

Duke Authors

Cited Authors

  • Riski, JE; Ruff, GL; Georgiade, GS; Barwick, WJ; Edwards, PD

Published Date

  • May 1992

Published In

Volume / Issue

  • 29 / 3

Start / End Page

  • 254 - 261

PubMed ID

  • 1591259

International Standard Serial Number (ISSN)

  • 1055-6656

Digital Object Identifier (DOI)

  • 10.1597/1545-1569_1992_029_0254_eotsp_2.3.co_2


  • eng

Conference Location

  • United States