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An Algorithm for Application of Furlow Palatoplasty to the Treatment of Velocardiofacial Syndrome–Associated Velopharyngeal Insufficiency
- Source :
- Annals of Plastic Surgery. 66:479-484
- Publication Year :
- 2011
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2011.
-
Abstract
- Treatment of velocardiofacial syndrome (VCFS)-associated velopharyngeal insufficiency is controversial. Palatoplasties have variable success, and pharyngeal flaps (PPF) increase the obstructive sleep apnea risk. Our center uses Furlow palatoplasties to treat overt clefts and kinetic submucous cleft palates. PPFs are employed to treat akinetic palates and recurrent/persistent velopharyngeal insufficiency after palatoplasty. A retrospective review was performed of patients with VCFS treated according to this algorithm. Twenty-seven patients with VCFS were included: 3.7% (n = 1) had overt clefts; 81.4% (n = 22) underwent Furlow palatoplasties for kinetic submucous cleft palates; 14.8% (n = 4) underwent primary PPFs for akinetic palates. The algorithm was successful in 21 patients (77.7%). Furlow palatoplasty achieved ultimate success in 45% of patients. Secondary PPF was successful in all 7 patients, as was primary PPF in all 4 patients. Furlow palatoplasty represents a first step in treating appropriate VCFS patients that avoids the risk of sleep apnea, but the potential for secondary pharyngoplasty must be considered.
- Subjects :
- Male
medicine.medical_specialty
Velopharyngeal Insufficiency
medicine.medical_treatment
Oral Surgical Procedures
Dentistry
Risk Assessment
Cohort Studies
Velopharyngeal insufficiency
Furlow palatoplasty
DiGeorge Syndrome
medicine
Humans
Retrospective Studies
business.industry
Infant
Sleep apnea
Retrospective cohort study
Plastic Surgery Procedures
medicine.disease
Surgery
Obstructive sleep apnea
Plastic surgery
Treatment Outcome
Palatoplasty
Female
Palate, Soft
Submucous cleft
business
Algorithm
Algorithms
Follow-Up Studies
Subjects
Details
- ISSN :
- 01487043
- Volume :
- 66
- Database :
- OpenAIRE
- Journal :
- Annals of Plastic Surgery
- Accession number :
- edsair.doi.dedup.....f0905f9301f0a16473681973f8e44596