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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.
Abstract:
The Hynes pharyngoplasty is the second most often performed procedure for velopharyngeal insufficiency in the United Kingdom and Ireland. A crucial step of the procedure is reliable fixation of the flaps onto the posterior pharynx wall. We prefer to fix the flaps to the prevertebral fascia. By using a manually straightened needle and a skin hook, in our hands, placement of this stitch can be made easier and faster.
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