Unilateral Orticochea Pharyngoplasty for Unilateral Velopharyngeal Dysfunction: Long-Term Outcomes Data. Issue 4 (June 2018)

• Record Type: Journal Article
• Authors: Klement, Kristen A.; Black, Jonathan S.; Vanlue, Michael J.; Denny, Arlen D.
• Is Part Of: Journal of craniofacial surgery. Volume 29:Issue 4(2018)
• Publication Date: 2018-06
• Subjects: Pharyngoplasty -- unilateral -- velopharyngeal dysfunction; Facial bones -- Surgery -- Periodicals; Skull -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; 617.52
• DOI: 10.1097/SCS.0000000000004418
• Languages: English
• ISSNs: 1049-2275

Abstract

Abstract : Abstract: A unilateral deficit in velopharyngeal closure during speech production is an unusual presentation of velopharyngeal dysfunction (VPD) and few solutions have been described for this problem. This report details the long-term outcomes using this technique. We performed a retrospective chart review of all the patients who underwent a unilateral Orticochea pharyngoplasty for VPD. The authors identified 10 patients treated with 11 unilateral pharyngoplasty at a single tertiary care institutional setting. The mean age at repair was 8.6 years. The mean length of follow-up was 7.6 years. All the patients demonstrated improvement in velopharyngeal closure and speech resonance with 4 showing complete resolution of VPD. There were no revisions required or complications. One patient, after 10.7 years, required a unilateral procedure on the contralateral side which resulted in complete resolution of VPD postoperatively.