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Posterior pharyngeal wall augmentation.

Colleen F Perez1, Matthew T Brigger

  • 1Naval Medical Center San Diego, Department of Otolaryngology - Head and Neck Surgery, San Diego, Calif., USA.

Advances in Oto-Rhino-Laryngology
|March 4, 2015
PubMed
Summary
This summary is machine-generated.

Posterior pharyngeal wall augmentation effectively treats velopharyngeal insufficiency in select patients with small gaps. Various implant materials and surgical techniques are available for this procedure.

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Area of Science:

  • Otolaryngology
  • Plastic Surgery
  • Speech-Language Pathology

Background:

  • Velopharyngeal insufficiency (VPI) affects speech and swallowing.
  • A small central velopharyngeal gap is a specific indication for posterior pharyngeal wall augmentation.
  • Surgical augmentation aims to improve velopharyngeal function.

Purpose of the Study:

  • To describe patient evaluation for posterior pharyngeal wall augmentation.
  • To review surgical techniques for posterior pharyngeal wall augmentation.
  • To discuss various implant materials used in posterior pharyngeal wall augmentation.

Main Methods:

  • Posterior pharyngeal wall augmentation using flaps or implants.
  • Implantation of autologous and nonautologous materials.
  • Surgical techniques including incision or direct injection.

Main Results:

  • Posterior pharyngeal wall augmentation is a useful technique for specific VPI cases.
  • A variety of materials can be used for augmentation.
  • Both flap and implant techniques are viable options.

Conclusions:

  • Posterior pharyngeal wall augmentation is a valuable surgical option for selected VPI patients.
  • Material choice and surgical technique depend on individual patient factors.
  • Further research may refine optimal augmentation strategies.