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Evaluation of the sphincter pharyngoplasty.

Publication ,  Journal Article
Riski, JE; Ruff, GL; Georgiade, GS; Barwick, WJ; Edwards, PD
Published in: Cleft Palate Craniofac J
May 1992

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.

Duke Scholars

Published In

Cleft Palate Craniofac J

DOI

ISSN

1055-6656

Publication Date

May 1992

Volume

29

Issue

3

Start / End Page

254 / 261

Location

United States

Related Subject Headings

  • Velopharyngeal Insufficiency
  • Treatment Outcome
  • Surgical Flaps
  • Speech
  • Sex Factors
  • Reoperation
  • Pharynx
  • Palate, Soft
  • Palatal Muscles
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
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Riski, J. E., Ruff, G. L., Georgiade, G. S., Barwick, W. J., & Edwards, P. D. (1992). Evaluation of the sphincter pharyngoplasty. Cleft Palate Craniofac J, 29(3), 254–261. https://doi.org/10.1597/1545-1569_1992_029_0254_eotsp_2.3.co_2
Riski, J. E., G. L. Ruff, G. S. Georgiade, W. J. Barwick, and P. D. Edwards. “Evaluation of the sphincter pharyngoplasty.Cleft Palate Craniofac J 29, no. 3 (May 1992): 254–61. https://doi.org/10.1597/1545-1569_1992_029_0254_eotsp_2.3.co_2.
Riski JE, Ruff GL, Georgiade GS, Barwick WJ, Edwards PD. Evaluation of the sphincter pharyngoplasty. Cleft Palate Craniofac J. 1992 May;29(3):254–61.
Riski, J. E., et al. “Evaluation of the sphincter pharyngoplasty.Cleft Palate Craniofac J, vol. 29, no. 3, May 1992, pp. 254–61. Pubmed, doi:10.1597/1545-1569_1992_029_0254_eotsp_2.3.co_2.
Riski JE, Ruff GL, Georgiade GS, Barwick WJ, Edwards PD. Evaluation of the sphincter pharyngoplasty. Cleft Palate Craniofac J. 1992 May;29(3):254–261.

Published In

Cleft Palate Craniofac J

DOI

ISSN

1055-6656

Publication Date

May 1992

Volume

29

Issue

3

Start / End Page

254 / 261

Location

United States

Related Subject Headings

  • Velopharyngeal Insufficiency
  • Treatment Outcome
  • Surgical Flaps
  • Speech
  • Sex Factors
  • Reoperation
  • Pharynx
  • Palate, Soft
  • Palatal Muscles
  • Male