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The case for the inferiorly based posterior pharyngeal flap
The Cleft Palate Journal
|July 1, 1978
Summary
Comparing superiorly and inferiorly based posterior pharyngeal flaps reveals no significant speech outcome differences. Selection should be based on individual patient factors and specific surgical conditions for optimal results.
Area of Science:
- Plastic Surgery
- Speech Pathology
Background:
- Posterior pharyngeal flap surgery is used to improve velopharyngeal function.
- Both superiorly based and inferiorly based flap techniques exist.
Purpose of the Study:
- To compare the outcomes of superiorly based versus inferiorly based posterior pharyngeal flaps.
- To identify factors influencing the choice between the two flap types.
Main Methods:
- Retrospective and prospective case series were analyzed.
- Speech results were compared between the two flap techniques.
- Complications associated with each flap were enumerated.
Main Results:
- No statistically significant difference in speech outcomes was found between superiorly and inferiorly based flaps.
- Specific indications for preferring one flap over the other were identified.
Conclusions:
- The choice between superiorly and inferiorly based posterior pharyngeal flaps can be based on specific clinical scenarios.
- Given similar speech results, the optimal flap choice depends on individual patient needs and surgeon preference.