Under what circumstances would you choose a sphincter pharyngoplasty over a pharyngeal flap for secondary speech surgery?

Under what circumstances would you choose a sphincter pharyngoplasty over a pharyngeal flap for secondary speech surgery?

If the patient have the coronal closure pattern and small or intermediate gap of VP port, the sphincter pharyngoplasty is recommended. If the patient with the poor movement of lateral pharyngeal wall is treated by pharyngeal flap, the incidence of airway obstruction is increased.

What is sphincter pharyngoplasty?

Sphincter pharyngoplasty (SFINK-ter far-INGO-plasty) is a surgery done to help correct velopharyngeal dysfunction (VEE-lo-fa-RIN-jee-uhl dis-FUNK-shuhn), or VPD. VPD occurs when the soft palate cannot properly separate the back of the mouth from the nose during speech.

How long is pharyngoplasty surgery?

This procedure is performed in a hospital surgery center under general anesthesia. This procedure takes approximately one hour. Overnight hospitalization is usually recommended afterward, and in general the patient can usually return to work in 10 to 14 days.

What is velar insufficiency?

Velopharyngeal insufficiency (VPI) is when the soft palate does not close tightly against the back of the throat, leading to air coming out the nose (characterized by hypernasality and/or nasal air emission) during speech. This can cause speech that is difficult to understand.

What does Hyponasal speech sound like?

Hyponasal speech is the sound of speech that results from too little air escaping through the nose (sounds like talking with a stuffy nose). It would be hard to normally pronounce the letter “m” for example.

What is the CPT code for lengthening of palate and pharyngeal flap?

Codes 30460 Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columella lengthening; tip only and 30462 Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columella lengthening; tip, septum, osteotomies are most commonly used in these …

What is lateral pharyngoplasty?

In 2003, Cahali described lateral pharyngoplasty, a surgical technique designed to splint the lateral pharyngeal walls via a microdissection of the superior pharyngeal constrictor muscle, thus giving support to these walls and reducing lateral collapse in patients with OSAS.

What is a posterior pharyngeal flap?

Posterior Pharyngeal Flap (PPF) is a surgery done to help correct velopharyngeal dysfunction, or VPD. VPD occurs when the soft palate cannot properly separate the back of the mouth from the nose during speech.

What is Velopharyngeal incompetence?

Velopharyngeal incompetence occurs when the velum and lateral and posterior pharyngeal walls fail to separate the oral cavity from the nasal cavity during speech and deglutination.

What is speech surgery?

Speech surgery is generally less of an operation than the primary palatal surgery, meaning that recovery time is less and the child spends less time at the hospital. Because it is on the palate and involves the airway, these patients are typically observed overnight.