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What We Do: The Hynes Pharyngoplasty-Deep Prevertebrae Stitch
Thessa R Friebel1, Paul Morris1, Guy Thorburn1
11 North Themes Cleft Lip and Palate Service. Great Ormond Street Hospital, London, UK.
Summary
The Hynes pharyngoplasty, a common velopharyngeal insufficiency surgery, involves flap fixation. A simplified technique using a straightened needle and skin hook can make this crucial step easier and faster.
Area of Science:
- Otolaryngology
- Surgical Techniques
- Speech Pathology
Background:
- Velopharyngeal insufficiency (VPI) affects speech, requiring surgical correction.
- The Hynes pharyngoplasty is a frequently performed VPI procedure in the UK and Ireland.
- Reliable flap fixation to the posterior pharyngeal wall is critical for surgical success.
Purpose of the Study:
- To describe a modified technique for flap fixation during Hynes pharyngoplasty.
- To simplify and expedite the crucial fixation step of the Hynes pharyngoplasty.
Main Methods:
- The study details a preferred method for flap fixation.
- Utilizes a manually straightened needle and a skin hook for stitch placement.
- Focuses on securing flaps to the prevertebral fascia.
Main Results:
- The described technique aims to improve the ease and speed of flap fixation.
- Anecdotal evidence suggests the method is effective in the hands of the authors.
Conclusions:
- The modified Hynes pharyngoplasty fixation technique offers a potentially simpler and faster approach.
- This technique may enhance the reliability of flap fixation in VPI surgery.
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