The self-lined superiorly based pull-through velopharyngoplasty: Plastic surgery-speech pathology interaction in the management of velopharyngeal insufficiency

D. F. Johns, M. P. Cannito, R. J. Rohrich, J. B. Tebbetts

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

We present a rationale and step-by-step description of a previously unpublished innovative surgical technique designed to overcome velopharyngeal insufficiency. This procedure maintains the anatomic integrity and physiologic function of the velopharynx by limiting interpalatal dissection and incorporates a method for flap attachment through the velum that is accessible, predictable, and versatile. The efficacy of this procedure in eliminating velopharyngeal insufficiency was evaluated by using rigorously controlled quantitative psychophysical scaling procedures of presurgical and postsurgical perceptual ratings of resonance, nasal emission, and intelligibility and instrumental acoustic analyses. The results indicated significantly better postsurgical speech outcomes by individuals treated with the pull-through velopharyngoplasty than did patients treated with other procedures designed for the secondary management of velopharyngeal insufficiency. Based on our experience with more than 150 patients, we believe that the self-lined superiorly based pull-through velopharyngoplasty represents an advancement in the surgical treatment of velopharyngeal insufficiency.

Original languageEnglish (US)
Pages (from-to)436-445
Number of pages10
JournalPlastic and Reconstructive Surgery
Volume94
Issue number3
StatePublished - 1994

Fingerprint

Velopharyngeal Insufficiency
Speech-Language Pathology
Plastic Surgery
Nose
Acoustics
Dissection

ASJC Scopus subject areas

  • Surgery

Cite this

The self-lined superiorly based pull-through velopharyngoplasty : Plastic surgery-speech pathology interaction in the management of velopharyngeal insufficiency. / Johns, D. F.; Cannito, M. P.; Rohrich, R. J.; Tebbetts, J. B.

In: Plastic and Reconstructive Surgery, Vol. 94, No. 3, 1994, p. 436-445.

Research output: Contribution to journalArticle

@article{6bc0d625ddbd489d89862d787a0ab413,
title = "The self-lined superiorly based pull-through velopharyngoplasty: Plastic surgery-speech pathology interaction in the management of velopharyngeal insufficiency",
abstract = "We present a rationale and step-by-step description of a previously unpublished innovative surgical technique designed to overcome velopharyngeal insufficiency. This procedure maintains the anatomic integrity and physiologic function of the velopharynx by limiting interpalatal dissection and incorporates a method for flap attachment through the velum that is accessible, predictable, and versatile. The efficacy of this procedure in eliminating velopharyngeal insufficiency was evaluated by using rigorously controlled quantitative psychophysical scaling procedures of presurgical and postsurgical perceptual ratings of resonance, nasal emission, and intelligibility and instrumental acoustic analyses. The results indicated significantly better postsurgical speech outcomes by individuals treated with the pull-through velopharyngoplasty than did patients treated with other procedures designed for the secondary management of velopharyngeal insufficiency. Based on our experience with more than 150 patients, we believe that the self-lined superiorly based pull-through velopharyngoplasty represents an advancement in the surgical treatment of velopharyngeal insufficiency.",
author = "Johns, {D. F.} and Cannito, {M. P.} and Rohrich, {R. J.} and Tebbetts, {J. B.}",
year = "1994",
language = "English (US)",
volume = "94",
pages = "436--445",
journal = "Plastic and Reconstructive Surgery",
issn = "0032-1052",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - The self-lined superiorly based pull-through velopharyngoplasty

T2 - Plastic surgery-speech pathology interaction in the management of velopharyngeal insufficiency

AU - Johns, D. F.

AU - Cannito, M. P.

AU - Rohrich, R. J.

AU - Tebbetts, J. B.

PY - 1994

Y1 - 1994

N2 - We present a rationale and step-by-step description of a previously unpublished innovative surgical technique designed to overcome velopharyngeal insufficiency. This procedure maintains the anatomic integrity and physiologic function of the velopharynx by limiting interpalatal dissection and incorporates a method for flap attachment through the velum that is accessible, predictable, and versatile. The efficacy of this procedure in eliminating velopharyngeal insufficiency was evaluated by using rigorously controlled quantitative psychophysical scaling procedures of presurgical and postsurgical perceptual ratings of resonance, nasal emission, and intelligibility and instrumental acoustic analyses. The results indicated significantly better postsurgical speech outcomes by individuals treated with the pull-through velopharyngoplasty than did patients treated with other procedures designed for the secondary management of velopharyngeal insufficiency. Based on our experience with more than 150 patients, we believe that the self-lined superiorly based pull-through velopharyngoplasty represents an advancement in the surgical treatment of velopharyngeal insufficiency.

AB - We present a rationale and step-by-step description of a previously unpublished innovative surgical technique designed to overcome velopharyngeal insufficiency. This procedure maintains the anatomic integrity and physiologic function of the velopharynx by limiting interpalatal dissection and incorporates a method for flap attachment through the velum that is accessible, predictable, and versatile. The efficacy of this procedure in eliminating velopharyngeal insufficiency was evaluated by using rigorously controlled quantitative psychophysical scaling procedures of presurgical and postsurgical perceptual ratings of resonance, nasal emission, and intelligibility and instrumental acoustic analyses. The results indicated significantly better postsurgical speech outcomes by individuals treated with the pull-through velopharyngoplasty than did patients treated with other procedures designed for the secondary management of velopharyngeal insufficiency. Based on our experience with more than 150 patients, we believe that the self-lined superiorly based pull-through velopharyngoplasty represents an advancement in the surgical treatment of velopharyngeal insufficiency.

UR - http://www.scopus.com/inward/record.url?scp=0027965766&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027965766&partnerID=8YFLogxK

M3 - Article

C2 - 8047594

AN - SCOPUS:0027965766

VL - 94

SP - 436

EP - 445

JO - Plastic and Reconstructive Surgery

JF - Plastic and Reconstructive Surgery

SN - 0032-1052

IS - 3

ER -