Pharyngoplasty
A surgical operation called a�Pharyngoplasty�improves the function of the soft palate. In these operations, some of the tissue from the palate and the back of the throat are repositioned to help close off the escape of air through the nose. Children with a repaired cleft palate may have a resulting condition referred to as "VPI" (Velo Pharyngeal Incompetence). This means that too much air escapes through the nose during speech, resulting in a nasal sounding speech. This occurs because the repaired soft palate is too short or does not move adequately.The goal of a pharyngoplasty is successful communication for a child with cleft lip and palate. The speech pathologist regularly monitors the development of using and understanding language and the development of speech abilities including pronunciation of words (articulation), the sound of the voice and the amount of nasality during speech. When necessary, recommendations for�speech therapy�are made based on the child's specific needs. |
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BRIEF ABOUT THE PROCEDURE | ||
Tissue from the posterior pharyngeal wall is attached to the soft palate, creating a midline subtotal�obstruction of the oral and nasal cavities with 2 small lateral openings, or ports that ideally remain patent during respiration and nasal consonant production and close for oral consonants. The soft palate is incised in the Sagittal midline from the Uvula toward the junction of the soft and hard palate. The superiorly based pharyngeal flap is elevated off the prevertebral fascia. The flap is inset to the soft palate and sutured to the nasal side of the soft palate with interrupted sutures. The donor site is partially closed with 3-0 Vicryl sutures.�Nasopharyngeal�airways are placed through each lateral pharyngeal port for sizing and postoperative airway support. With the flap inset and the nasal side closed, the soft palate musculature is further dissected and approximated as indicated. The oral side of the soft palate is then closed with interrupted sutures. Through the years, several problems and complications have been identified with the pharyngeal flap procedure. As a result, it has undergone several modifications. The problems include construction of the appropriate width of flap, the use of a superiorly or inferiorly based flap, and whether the flap should be lined. A higher surgical success rate can probably be achieved by taking into account an individual patient's pattern of�VPD. How to precisely tailor the flap to balance speech and airway is patient-dependent and objectively difficult to elucidate. |
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RELATED ARTICLES | ||
The other ENT Procedures are: |
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HOSPITALS FOR PHARYNGOPLASTY | ||
Few Popular Hospitals for Pharyngoplasty are: |
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DESTINATIONS FOR PHARYNGOPLASTY | ||
Thailand,�Malaysia, Singapore, Turkey�and�India�are the most cost effective locations that offer up to almost 80% savings in comparison to the US. SurgeryPlanet�facilitates a plethora of services to the medical treatment traveler also which includes, a hassle free and discounted travel option, a welcome hand at the airport on arrival, travel in an air-conditioned car, round the clock service & support. Your medical evaluation is pre arranged with the least of waiting time. Once your assessment is complete and found medically fit, the procedure is immediately scheduled without a waiting period. Please read through our Services and Testimonials to understand and select your best options. |
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