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ÇOCUKLARDA DAMAK YARIĞI ONARIMI SONRASI GÖRÜLEN VELOFARİNGEAL YETMEZLİK TEDAVİSİ

Yıl 2014, 2014: Supplement 9, 142 - 145, 11.02.2015
https://doi.org/10.17567/dfd.66675

Öz

Velofaringeal kompleks, posterior faringeal duvara doğru kapanarak oral ve nazal kaviteyi birbirinden ayırır. Velofaringeal yetmezlik (VFY) sıklıkla  damak yarığı onarımı sonrasında görülür. Velofaringeal yetmezlik tedavisinde; Furlow palatoplastisi, faringeal flepler, Sfinkter faringoplastisi ve posterior faringeal duvar augmentasyonu gibi birçok cerrahi teknik kullanılmaktadır. Velofaringeal yetmezlik tedavisinde en sık kullanılan yöntemler; Sfinkter faringoplastisi ve faringeal fleplerdir. VFY’te kullanılan cerrahi tedaviler, velofaringeal mekanizmaya daha uygun yapı veya işlev oluşturmaya yöneliktir. Bu çalışmanın amacı,  damak yarığı onarımı sonrasında görülen velofaringeal yetmezlik tedavisinde kullanılan cerrahi tekniklerin etkinliklerinin incelenmesidir.

Kaynakça

  • Premkumar S. Clinical application of palatal lift appliance in velopharyngeal incompetence. Journal of the Indian Society of Pedodontics and Preventive Dentistry 2011;29:S70-3.
  • Goudy S, Ingraham C, Canady J. Noncleft velopharyngeal insufficiency: etiology and need for surgical treatment. International journal of otolaryngology 2012; 2012: 296073.
  • Muntz HR. Current Techniques for Treatment of Velopharyngeal Insufficiency Operative Techniques In Otolaryngology-Head and Neck Surgery 2001;12:204-9.
  • de Serres LM, Deleyiannis FW, Eblen LE, Gruss JS, Richardson MA, Sie KC. Results with sphincter pharyngoplasty and pharyngeal flap. International journal 1999;48:17-25. otorhinolaryngology
  • Collins J, Cheung K, Farrokhyar F, Strumas N. Pharyngeal flap versus sphincter pharyngoplasty for the treatment of velopharyngeal insufficiency: a meta-analysis. Journal of plastic, reconstructive & aesthetic surgery : JPRAS 2012;65:864-8.
  • Koh KS, Kim SC, Oh TS. Management of velopharyngeal insufficiency using double opposing z-plasty in patients undergoing primary two-flap palatoplasty. 2013;40:97-103. of plastic surgery
  • D'Antonio LL. Correction of velopharyngeal insufficiency using the Furlow double-opposing Z- plasty. The Western journal of medicine 1997;167:101-2.
  • Dailey SA, Karnell MP, Karnell LH, Canady JW. Comparison of resonance outcomes after pharyngeal flap and furlow double-opposing z- plasty for surgical management of velopharyngeal incompetence. The Cleft palate-craniofacial journal : official publication of the American Cleft Palate- Craniofacial Association 2006;43:38-43.
  • Orr WC, Levine NS, Buchanan RT. Effect of cleft palate repair and pharyngeal flap surgery on upper airway obstruction during sleep. Plastic and reconstructive surgery 1987;80:226-32.
  • Sirois M, Caouette-Laberge L, Spier S, Larocque Y, Egerszegi EP. Sleep apnea following a pharyngeal flap: a feared complication. Plastic and reconstructive surgery 1994;93:943-7.
  • Valnicek SM, Zuker RM, Halpern LM, Roy WL. Perioperative complications of superior pharyngeal flap surgery in children. Plastic and reconstructive surgery 1994;93:954-8.
  • Thurston JB, Larson DL, Shanks JC, Bennett JE, Parsons RW. Nasal obstruction as a complication of pharyngeal flap surgery. The Cleft palate journal 1980;17:148-54.
  • Wattanawong K, Tan YC, Lo LJ, Chen PK, Chen YR. Comparison of outcomes of velopharyngeal surgery between the inferiorly and superiorly based pharyngeal flaps. Chang Gung medical journal 2007;30:430-6.
  • Pena M, Choi S, Boyajian M, Zalzal G. Perioperative airway complications following pharyngeal flap palatoplasty. The Annals of otology, rhinology, and laryngology 2000;109:808-11.
  • Wang GM, Yang YS, Chen Y, Wu YL, Jiang LP, Liu Q. [Surgery for velopharyngeal insufficiency: a review of 219 modified pharyngoplasties]. Zhonghua er bi yan hou ke za zhi 2004;39:200-3.
  • Hirschberg J. Results and complications of 1104 surgeries for velopharyngeal insufficiency. ISRN otolaryngology 2012;2012:181202.
  • Pensler JM, Reich DS. A comparison of speech results after the pharyngeal flap and the dynamic sphincteroplasty procedures. Annals of plastic surgery 1991;26:441-3.
  • Witt PD, D'Antonio LL. Velopharyngeal insufficiency and secondary palatal management. A new look at an old problem. Clinics in plastic surgery 1993;20:707-21.
  • Por YC, Tan YC, Chang FC, Chen PK. Revision of pharyngeal flaps causing obstructive airway symptoms: an analysis of treatment with three different techniques over 39 years. Journal of plastic, reconstructive & aesthetic surgery : JPRAS 2010;63:930-3.
  • Sullivan SR, Vasudavan S, Marrinan EM, Mulliken JB. Submucous cleft palate and velopharyngeal insufficiency: comparison of speech outcomes using three operative techniques by one surgeon. The Cleft palate-craniofacial journal : official publication of the American Cleft Palate- Craniofacial Association 2011;48:561-70.
  • Brigger MT, Ashland JE, Hartnick CJ. Injection pharyngoplasty with calcium hydroxylapatite for velopharyngeal insufficiency: patient selection and technique. Archives of otolaryngology--head & neck surgery 2010;136:666-70.
  • Lypka M, Bidros R, Rizvi M, Gaon M, Rubenstein A, Fox D, et al. Posterior pharyngeal augmentation in the treatment of velopharyngeal insufficiency: a 40-year experience. Annals of plastic surgery 2010;65:48-51.
  • McComb RW, Marrinan EM, Nuss RC, Labrie RA, Mulliken velopharyngeal insufficiency after Le Fort I maxillary advancement in patients with cleft palate. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons 2011;69:2226-32.
  • Paulson LM, Macarthur CJ, Beaulieu KB, Brockman JH, Milczuk HA. Speech outcomes after tonsillectomy velopharyngeal insufficiency. International journal of otolaryngology 2012;2012: 912767. known
  • Widdershoven JC, Stubenitsky BM, Breugem CC, MinkvanderMolen AB. Outcome of velopharyng- oplasty in patients with velocardiofacial syndrome. Archives of otolaryngology--head & neck surgery 2008;134:1159-64.
  • Abdel-Aziz M. Palatopharyngeal sling: a new technique in treatment of velopharyngeal insufficiency. International journal of pediatric otorhinolaryngology 2008;72:173-7.

TREATMENT OF VELOPHARYNGEAL INSUFFICIENCY SEEN AFTER CLEFT PALATE REPAIR IN CHILDREN

Yıl 2014, 2014: Supplement 9, 142 - 145, 11.02.2015
https://doi.org/10.17567/dfd.66675

Öz

Velopharyngealcomplex separates the oral and nasal cavity closing towards the posterior pharyngeal wall. Velopharyngeal insufficiency (VFI) is often observed after cleft palate repair. Various surgical techniques including; Furlow palatoplasty, pharyngeal flap, Sphincter pharyngoplasty. and the posterior pharyngeal wall augmentation The most commonly used techniques are Furlow palatoplasty, pharyngeal flap, Sphincter pharyngoplasty and posterior pharyngeal wall augmentation. The surgical treatments of velopharyngeal insufficiency is aimed to form a more appropriate structure or function of velopharyngeal mechanism. The purpose of this study was to evaluate the efficiencies of the surgical techniques used for the treatment of velopharyngeal insufficiency seen after cleft palate repair

Kaynakça

  • Premkumar S. Clinical application of palatal lift appliance in velopharyngeal incompetence. Journal of the Indian Society of Pedodontics and Preventive Dentistry 2011;29:S70-3.
  • Goudy S, Ingraham C, Canady J. Noncleft velopharyngeal insufficiency: etiology and need for surgical treatment. International journal of otolaryngology 2012; 2012: 296073.
  • Muntz HR. Current Techniques for Treatment of Velopharyngeal Insufficiency Operative Techniques In Otolaryngology-Head and Neck Surgery 2001;12:204-9.
  • de Serres LM, Deleyiannis FW, Eblen LE, Gruss JS, Richardson MA, Sie KC. Results with sphincter pharyngoplasty and pharyngeal flap. International journal 1999;48:17-25. otorhinolaryngology
  • Collins J, Cheung K, Farrokhyar F, Strumas N. Pharyngeal flap versus sphincter pharyngoplasty for the treatment of velopharyngeal insufficiency: a meta-analysis. Journal of plastic, reconstructive & aesthetic surgery : JPRAS 2012;65:864-8.
  • Koh KS, Kim SC, Oh TS. Management of velopharyngeal insufficiency using double opposing z-plasty in patients undergoing primary two-flap palatoplasty. 2013;40:97-103. of plastic surgery
  • D'Antonio LL. Correction of velopharyngeal insufficiency using the Furlow double-opposing Z- plasty. The Western journal of medicine 1997;167:101-2.
  • Dailey SA, Karnell MP, Karnell LH, Canady JW. Comparison of resonance outcomes after pharyngeal flap and furlow double-opposing z- plasty for surgical management of velopharyngeal incompetence. The Cleft palate-craniofacial journal : official publication of the American Cleft Palate- Craniofacial Association 2006;43:38-43.
  • Orr WC, Levine NS, Buchanan RT. Effect of cleft palate repair and pharyngeal flap surgery on upper airway obstruction during sleep. Plastic and reconstructive surgery 1987;80:226-32.
  • Sirois M, Caouette-Laberge L, Spier S, Larocque Y, Egerszegi EP. Sleep apnea following a pharyngeal flap: a feared complication. Plastic and reconstructive surgery 1994;93:943-7.
  • Valnicek SM, Zuker RM, Halpern LM, Roy WL. Perioperative complications of superior pharyngeal flap surgery in children. Plastic and reconstructive surgery 1994;93:954-8.
  • Thurston JB, Larson DL, Shanks JC, Bennett JE, Parsons RW. Nasal obstruction as a complication of pharyngeal flap surgery. The Cleft palate journal 1980;17:148-54.
  • Wattanawong K, Tan YC, Lo LJ, Chen PK, Chen YR. Comparison of outcomes of velopharyngeal surgery between the inferiorly and superiorly based pharyngeal flaps. Chang Gung medical journal 2007;30:430-6.
  • Pena M, Choi S, Boyajian M, Zalzal G. Perioperative airway complications following pharyngeal flap palatoplasty. The Annals of otology, rhinology, and laryngology 2000;109:808-11.
  • Wang GM, Yang YS, Chen Y, Wu YL, Jiang LP, Liu Q. [Surgery for velopharyngeal insufficiency: a review of 219 modified pharyngoplasties]. Zhonghua er bi yan hou ke za zhi 2004;39:200-3.
  • Hirschberg J. Results and complications of 1104 surgeries for velopharyngeal insufficiency. ISRN otolaryngology 2012;2012:181202.
  • Pensler JM, Reich DS. A comparison of speech results after the pharyngeal flap and the dynamic sphincteroplasty procedures. Annals of plastic surgery 1991;26:441-3.
  • Witt PD, D'Antonio LL. Velopharyngeal insufficiency and secondary palatal management. A new look at an old problem. Clinics in plastic surgery 1993;20:707-21.
  • Por YC, Tan YC, Chang FC, Chen PK. Revision of pharyngeal flaps causing obstructive airway symptoms: an analysis of treatment with three different techniques over 39 years. Journal of plastic, reconstructive & aesthetic surgery : JPRAS 2010;63:930-3.
  • Sullivan SR, Vasudavan S, Marrinan EM, Mulliken JB. Submucous cleft palate and velopharyngeal insufficiency: comparison of speech outcomes using three operative techniques by one surgeon. The Cleft palate-craniofacial journal : official publication of the American Cleft Palate- Craniofacial Association 2011;48:561-70.
  • Brigger MT, Ashland JE, Hartnick CJ. Injection pharyngoplasty with calcium hydroxylapatite for velopharyngeal insufficiency: patient selection and technique. Archives of otolaryngology--head & neck surgery 2010;136:666-70.
  • Lypka M, Bidros R, Rizvi M, Gaon M, Rubenstein A, Fox D, et al. Posterior pharyngeal augmentation in the treatment of velopharyngeal insufficiency: a 40-year experience. Annals of plastic surgery 2010;65:48-51.
  • McComb RW, Marrinan EM, Nuss RC, Labrie RA, Mulliken velopharyngeal insufficiency after Le Fort I maxillary advancement in patients with cleft palate. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons 2011;69:2226-32.
  • Paulson LM, Macarthur CJ, Beaulieu KB, Brockman JH, Milczuk HA. Speech outcomes after tonsillectomy velopharyngeal insufficiency. International journal of otolaryngology 2012;2012: 912767. known
  • Widdershoven JC, Stubenitsky BM, Breugem CC, MinkvanderMolen AB. Outcome of velopharyng- oplasty in patients with velocardiofacial syndrome. Archives of otolaryngology--head & neck surgery 2008;134:1159-64.
  • Abdel-Aziz M. Palatopharyngeal sling: a new technique in treatment of velopharyngeal insufficiency. International journal of pediatric otorhinolaryngology 2008;72:173-7.
Toplam 26 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Diş Hekimliği
Bölüm Makaleler
Yazarlar

Ümit Ertaş Bu kişi benim

Nesrin Saruhan

Tevfik Demirci Bu kişi benim

Yayımlanma Tarihi 11 Şubat 2015
Yayımlandığı Sayı Yıl 2014 2014: Supplement 9

Kaynak Göster

APA Ertaş, Ü., Saruhan, N., & Demirci, T. (2015). ÇOCUKLARDA DAMAK YARIĞI ONARIMI SONRASI GÖRÜLEN VELOFARİNGEAL YETMEZLİK TEDAVİSİ. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 24(-3), 142-145. https://doi.org/10.17567/dfd.66675
AMA Ertaş Ü, Saruhan N, Demirci T. ÇOCUKLARDA DAMAK YARIĞI ONARIMI SONRASI GÖRÜLEN VELOFARİNGEAL YETMEZLİK TEDAVİSİ. Ata Diş Hek Fak Derg. Şubat 2015;24(-3):142-145. doi:10.17567/dfd.66675
Chicago Ertaş, Ümit, Nesrin Saruhan, ve Tevfik Demirci. “ÇOCUKLARDA DAMAK YARIĞI ONARIMI SONRASI GÖRÜLEN VELOFARİNGEAL YETMEZLİK TEDAVİSİ”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 24, sy. -3 (Şubat 2015): 142-45. https://doi.org/10.17567/dfd.66675.
EndNote Ertaş Ü, Saruhan N, Demirci T (01 Şubat 2015) ÇOCUKLARDA DAMAK YARIĞI ONARIMI SONRASI GÖRÜLEN VELOFARİNGEAL YETMEZLİK TEDAVİSİ. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 24 -3 142–145.
IEEE Ü. Ertaş, N. Saruhan, ve T. Demirci, “ÇOCUKLARDA DAMAK YARIĞI ONARIMI SONRASI GÖRÜLEN VELOFARİNGEAL YETMEZLİK TEDAVİSİ”, Ata Diş Hek Fak Derg, c. 24, sy. -3, ss. 142–145, 2015, doi: 10.17567/dfd.66675.
ISNAD Ertaş, Ümit vd. “ÇOCUKLARDA DAMAK YARIĞI ONARIMI SONRASI GÖRÜLEN VELOFARİNGEAL YETMEZLİK TEDAVİSİ”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 24/-3 (Şubat 2015), 142-145. https://doi.org/10.17567/dfd.66675.
JAMA Ertaş Ü, Saruhan N, Demirci T. ÇOCUKLARDA DAMAK YARIĞI ONARIMI SONRASI GÖRÜLEN VELOFARİNGEAL YETMEZLİK TEDAVİSİ. Ata Diş Hek Fak Derg. 2015;24:142–145.
MLA Ertaş, Ümit vd. “ÇOCUKLARDA DAMAK YARIĞI ONARIMI SONRASI GÖRÜLEN VELOFARİNGEAL YETMEZLİK TEDAVİSİ”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, c. 24, sy. -3, 2015, ss. 142-5, doi:10.17567/dfd.66675.
Vancouver Ertaş Ü, Saruhan N, Demirci T. ÇOCUKLARDA DAMAK YARIĞI ONARIMI SONRASI GÖRÜLEN VELOFARİNGEAL YETMEZLİK TEDAVİSİ. Ata Diş Hek Fak Derg. 2015;24(-3):142-5.

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