What's new in cleft palate and velopharyngeal dysfunction management?

S Naran, M Ford, JE Losee - Plastic and reconstructive surgery, 2017 - journals.lww.com
Velopharyngeal dysfunction is improper function of the dynamic structures that work to
control the velopharyngeal sphincter. Approximately 30 percent of patients having …

Surgery for velopharyngeal dysfunction: a systematic review of interventions and outcomes

C de Blacam, S Smith, D Orr - The Cleft palate-craniofacial …, 2018 - journals.sagepub.com
Objective: This systematic review sought to evaluate the consensus in the literature
regarding the surgical management of VPD and to determine whether a particular procedure …

The association between age at palatoplasty and speech and language outcomes in children with cleft palate: an observational chart review study

AD Shaffer, MD Ford, JE Losee… - The Cleft palate …, 2020 - journals.sagepub.com
Objective: To determine whether timing of palatoplasty (early, standard, or late) is associated
with speech and language outcomes in children with cleft palate. Design: Retrospective …

Secondary treatment of cleft lip correction sequelae with percutaneous needleotomy, autologous fat grafting, and local flaps: an integrated approach

M Klinger, F Klinger, A Battistini, A Lisa… - Journal of …, 2021 - journals.lww.com
Materials and Methods: In this study we present the results obtained from a series of 12
consecutive Caucasian patients aged from 23 to 44 years with widened paramedian lip …

Updates in cleft care

MJ Parham, AE Simpson, TA Moreno… - Seminars in Plastic …, 2023 - thieme-connect.com
Cleft lip and/or palate is a congenital malformation with a wide range of presentations, and
its effective treatment necessitates sustained, comprehensive care across an affected child's …

Autologous fat injection for treatment of velopharyngeal insufficiency

E Nigh, GA Rubio, J Hillam, M Armstrong… - Journal of …, 2017 - journals.lww.com
Background: Management of velopharyngeal insufficiency (VPI) has traditionally involved
surgical repair to improve speech. Posterior pharyngeal augmentation using injectable …

Outcome of palate re-repair with radical repositioning of the levator muscle sling as a first-line strategy in postpalatoplasty velopharyngeal incompetence management …

A Elsherbiny, M Amerson, L Sconyers… - Plastic and …, 2018 - journals.lww.com
Background: Palatal re-repair aims to improve velar function by retropositioning the levator
muscles. Although it has become a popular procedure, very few studies document its …

Surgery for velopharyngeal insufficiency following cleft palate repair: an audit of contemporary practice and proposed schema of techniques and variations

RW Tse, KC Sie, TT Tollefson… - The Cleft Palate …, 2024 - journals.sagepub.com
Objective Surgical treatment of velopharyngeal insufficiency (VPI) includes a wide array of
procedures. The purpose of this study was to develop a classification for VPI procedures and …

Time course of improvement after re-repair procedure for VPI management

A Elsherbiny, M Amerson, L Sconyers… - Journal of Plastic …, 2018 - Elsevier
Objectives Palatal re-repair aims to improve velar function by retro-positioning the levator
veli palatini muscles. The surgery includes extensive dissection, leading to tissue edema …

Predictors of speech outcome in posterior pharyngeal fat graft surgery for velopharyngeal insufficiency management

R Denadai, A Sabbag, PR Vieira… - Journal of …, 2020 - journals.lww.com
Background: The identification of variables potentially correlated with speech outcome,
following posterior pharyngeal fat grafting for treatment of velopharyngeal insufficiency (VPI) …