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Related Experiment Videos

A new folded pharyngeal flap. Preliminary report.

N Isshiki, M Morimoto

    Plastic and Reconstructive Surgery
    |April 1, 1975
    PubMed
    Summary

    A novel folded flap technique was developed to reduce scar contracture after pharyngeal flap surgery for velopharyngeal inadequacy. This surgical innovation showed no complications in 14 patients, offering a promising approach for improved outcomes.

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    Area of Science:

    • Plastic Surgery
    • Otolaryngology
    • Speech Pathology

    Background:

    • Pharyngeal flap operations are used to treat velopharyngeal inadequacy.
    • Postoperative scar contracture and shrinkage can negatively impact outcomes.
    • Minimizing these complications is crucial for functional success.

    Purpose of the Study:

    • To introduce and evaluate a folded flap operation designed to minimize scar contracture and shrinkage.
    • To assess the safety and efficacy of this technique in patients with velopharyngeal inadequacy.

    Main Methods:

    • A superiorly-based flap was elevated from the posterior pharyngeal wall.
    • The flap was folded with the mucosa positioned externally.
    • Connection to the velum was achieved via raw surfaces and penetrating incisions.

    Main Results:

    • The folded flap operation was performed on 14 patients with velopharyngeal inadequacy.
    • No instances of flap detachment or other complications were observed.
    • The technique proved to be relatively simple to perform.

    Conclusions:

    • The folded flap technique is a safe and effective method for reducing scar contracture after pharyngeal flap surgery.
    • This approach holds potential for further design modifications based on the severity of velopharyngeal incompetence.

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