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Corresponding Author

Ahmad Masoud Awad

Document Type

Original Article

Abstract

Background: Velopharyngeal Insufficiency is a medical condition characterized by incomplete closure of the velopharyngeal port, which is crucial for successful sphincter pharyngoplasty. The procedure involves raising and lifting bilateral palatopharyngeus myomucosal flaps off the posterior tonsillar pillar.

Aim: To compare speech outcomes of velopharyngeal Insufficiency after correction by sphincter pharyngoplasty versus palatal lengthening by double buccal flap.

Patients and methods: This randomized control prospective research was performed on 16 cases with post-cleft palate at AL-Azhar University hospital. There were two groups of patients, which were as follows: Group A: 8 cases with palatal lengthening (PL) by double buccal flap and Group B: 8 cases with sphincter pharyngoplasty (SP).

Results: Revision rate was less frequent in PL group compared SP group but without statistically significant variance. According to the findings of our investigation, there was no discernible distinction between the groups regarding hypernasality, pharyngealization of fricatives, or oral and nasal sentences. Moreover, hypernasality, pharyngealization of fricatives, and oral and nasal sentences significantly decreased in each of the collections postoperatively. Also, our results demonstrated that there was no significant variance amongst the groups concerning velopharyngeal (VP) closure grade. While there was a significant increase in grade in both groups postoperatively.

Conclusion: Regarding our results, sphincter pharyngoplasty versus palatal lengthening by double buccal flap have similar results of speech outcomes of velopharyngeal Insufficiency after correction by surgery on the pharynx's sphincter.

Keywords

Sphincter pharyngoplasty, Velopharyngeal insufficiency, Palatal lengthening

Subject Area

Plastic surgery

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