eMedicine Specialties > Pediatrics: Surgery > Otolaryngology

Palatopharyngeal Incompetence: Follow-up

Author: Michael J Biavati, MD, Clinical Assistant Professor of Otolaryngology, University of Texas Southwestern; Private Practice, ENT Care for Kids, Dallas, TX
Coauthor(s): Kathleen Sie, MD, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Washington School of Medicine; Medical Director, Hearing Loss Clinic, Co-Director, Cochlear Implant Program, Director, Childhood Communication Center, Children's Hospital and Regional Medical Center, Seattle; Gregory J Wiet, MD, FACS, FAAP, Associate Professor, Departments of Otolaryngology and Biomedical Informatics, Director, Division of Pediatric Otolaryngology, Ohio State University College of Medicine and Public Health, Columbus; Gina Rocha-Worley, CCC/SLP, MS, Speech Pathologist, Department of Speech Pathology, Harlem Hospital Center
Contributor Information and Disclosures

Updated: Jan 13, 2010

Follow-up

Complications

  • Pharyngoplasty: The incidence of hyponasality postoperatively is estimated to be 12-17%.
  • Pharyngeal flap: Failure to improve is related to inadequate flap width either by design or due to contracture; however, a flap that is too wide narrows the lateral ports and produces hyponasal speech. Postoperative airway obstruction is most likely to occur within the first 24 hours and resolved within 2 days in more than 90% of subjects in one series.
  • Posterior wall augmentation: Problems with extrusion, migration, resorption, and infection have been reported.

Prognosis

 


More on Palatopharyngeal Incompetence

Overview: Palatopharyngeal Incompetence
Differential Diagnoses & Workup: Palatopharyngeal Incompetence
Treatment & Medication: Palatopharyngeal Incompetence
Follow-up: Palatopharyngeal Incompetence
Multimedia: Palatopharyngeal Incompetence
References

References

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Further Reading

Keywords

palatopharyngeal incompetence, velopharyngeal insufficiency, velopharyngeal incompetency, cleft palate, hypernasality, nasal emissions, velopharyngeal dysfunction, VPD, velocardiofacial syndrome, VCF syndrome, treatment, diagnosis, symptoms

Contributor Information and Disclosures

Author

Michael J Biavati, MD, Clinical Assistant Professor of Otolaryngology, University of Texas Southwestern; Private Practice, ENT Care for Kids, Dallas, TX
Michael J Biavati, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Academy of Pediatrics, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Laryngological Rhinological and Otological Society, American Society of Pediatric Otolaryngology, Society for Ear, Nose and Throat Advances in Children, and Texas Medical Association
Disclosure: Nothing to disclose.

Coauthor(s)

Kathleen Sie, MD, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Washington School of Medicine; Medical Director, Hearing Loss Clinic, Co-Director, Cochlear Implant Program, Director, Childhood Communication Center, Children's Hospital and Regional Medical Center, Seattle
Kathleen Sie, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Cleft Palate/Craniofacial Association, American College of Surgeons, and American Society of Pediatric Otolaryngology
Disclosure: Nothing to disclose.

Gregory J Wiet, MD, FACS, FAAP, Associate Professor, Departments of Otolaryngology and Biomedical Informatics, Director, Division of Pediatric Otolaryngology, Ohio State University College of Medicine and Public Health, Columbus
Gregory J Wiet, MD, FACS, FAAP is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Academy of Pediatrics, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Medical Association, American Society of Clinical Oncology, American Society of Pediatric Otolaryngology, Association for Research in Otolaryngology, and Ohio State Medical Association
Disclosure: Nothing to disclose.

Gina Rocha-Worley, CCC/SLP, MS, Speech Pathologist, Department of Speech Pathology, Harlem Hospital Center
Gina Rocha-Worley, CCC/SLP, MS is a member of the following medical societies: American Cleft Palate/Craniofacial Association and American Speech-Language-Hearing Association
Disclosure: Nothing to disclose.

Medical Editor

Orval Brown, MD, Director of Otolaryngology Clinic, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center at Dallas
Orval Brown, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Academy of Pediatrics, American Bronchoesophagological Association, American College of Surgeons, American Medical Association, American Society of Pediatric Otolaryngology, Society for Ear, Nose and Throat Advances in Children, and Society of University Otolaryngologists-Head and Neck Surgeons
Disclosure: Nothing to disclose.

Pharmacy Editor

Mary L Windle, PharmD, Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy, Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

John E McClay, MD, Associate Professor of Pediatric Otolaryngology, Department of Otolaryngology-Head and Neck Surgery, Children's Hospital of Dallas, University of Texas Southwestern Medical School
John E McClay, MD is a member of the following medical societies: American Academy of Otolaryngic Allergy, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, and American Medical Association
Disclosure: Nothing to disclose.

CME Editor

Daniel Rauch, MD, FAAP, Director, Pediatric Hospitalist Program, Associate Professor, Department of Pediatrics, New York University School of Medicine
Daniel Rauch, MD, FAAP is a member of the following medical societies: Ambulatory Pediatric Association, American Academy of Pediatrics, and Society of Hospital Medicine
Disclosure: Baxter Honoraria Consulting

Chief Editor

Glenn C Isaacson, MD, FACS, FAAP, Professor of Otolaryngology-Head and Neck Surgery and Pediatrics, Temple University School of Medicine
Glenn C Isaacson, MD, FACS, FAAP is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Academy of Pediatrics, American Bronchoesophagological Association, American College of Surgeons, American Laryngological Rhinological and Otological Society, American Society of Pediatric Otolaryngology, and Society of University Otolaryngologists-Head and Neck Surgeons
Disclosure: Covidien Honoraria Consulting

 
 
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