Related Experiment Video
Updated: Oct 7, 2025
07:11
Treatment of Facial Deformities using 3D Planning and Printing of Patient-Specific Implants
Published on: May 23, 2020
7.5K
A Preliminary Management Algorithm for Velopharyngeal Insufficiency in Cleft-Orthognathic Patients
Daniel C Sasson1, Alvaro Reategui, Sarah Phillips
1Division of Plastic Surgery, Yale School of Medicine, New Haven, CT.
The Journal of Craniofacial Surgery
|January 6, 2022
Summary
A new algorithm effectively managed velopharyngeal insufficiency (VPI) in cleft-orthognathic patients. Adherence to the algorithm led to VPI resolution, while nonadherence resulted in persistent symptoms.
Area of Science:
- Craniofacial Surgery
- Plastic Surgery
- Speech Pathology
Background:
- Cleft palate patients often develop velopharyngeal insufficiency (VPI) due to abnormal soft palate musculature.
- Early palate surgery can impede maxillary growth, necessitating orthognathic surgery later.
- Orthognathic surgery may cause or worsen VPI in this population.
Purpose of the Study:
- To evaluate VPI development and outcomes in cleft-orthognathic patients.
- To create a targeted management algorithm for VPI in this cohort.
Main Methods:
- Retrospective analysis of 51 cleft-orthognathic patients.
- Patients categorized by VPI development pattern and algorithm adherence.
- Statistical comparison of demographic factors, risk factors, and outcomes.
Main Results:
- 16 out of 51 patients presented with VPI.
- Complete VPI resolution was observed in all patients adhering to the algorithm.
- Persistent VPI was noted in nonadherent patients (P < 0.001).
Conclusions:
- A targeted management algorithm shows promise for improving VPI symptoms in cleft-orthognathic patients.
- Further multi-center and prospective studies are recommended for validation.
More Related Videos
Related Concept Videos
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
173
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
173
01:25Suctioning the Oropharyngeal Airway
444
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
444