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Sphincter pharyngoplasty.

Nikhila Raol1, Christopher J Hartnick

  • 1Pediatric Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Mass., USA.

Advances in Oto-Rhino-Laryngology
|March 4, 2015
PubMed
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Sphincter pharyngoplasty, a surgical technique for velopharyngeal insufficiency, is detailed for clinicians. This procedure is most effective for patients with specific motion limitations, offering an alternative to pharyngeal flaps.

Area of Science:

  • Otolaryngology
  • Plastic Surgery
  • Speech-Language Pathology

Background:

  • Velopharyngeal insufficiency (VPI) often occurs after cleft palate repair.
  • Sphincter pharyngoplasty, first described in 1950, is a common surgical treatment for VPI.
  • This technique is comparable in frequency to the pharyngeal flap procedure at some institutions.

Purpose of the Study:

  • To outline the indications for performing sphincter pharyngoplasty.
  • To provide a detailed, stepwise surgical description of the procedure.
  • To guide clinicians in selecting appropriate candidates for sphincter pharyngoplasty.

Main Methods:

  • The chapter focuses on the clinical indications and surgical technique of sphincter pharyngoplasty.
  • It emphasizes patient selection based on velopharyngeal motion.

Related Experiment Videos

  • A stepwise procedural description is provided for educational purposes.

    • Main Results:

    • Sphincter pharyngoplasty is indicated for patients with VPI, particularly those with adequate anterior-posterior pharyngeal motion but limited lateral wall function.
    • The procedure aims to improve velopharyngeal function by creating a sphincter-like action.
    • Effectiveness is highlighted for a specific subset of VPI patients.

    Conclusions:

    • Sphincter pharyngoplasty is a valuable surgical option for managing velopharyngeal insufficiency.
    • Understanding the indications and surgical steps is crucial for successful outcomes.
    • This technique offers an effective alternative, especially for select patient populations.