The procedures assessed in the studies included uvulopalatopharyngoplasty (UPPP); laser-assisted uvulopalatoplasty; radiofrequency ablation; and various combinations of pharyngoplasty
, tonsillectomy, adenoidectomy, genioglossal advancement septoplasty, ablation of the nasal turbinates, and other nasal surgeries.
Some children may require speech investigations such as videofluoroscopy or nasendoscopy to assess the need for further surgery (re-repair) to improve the length or movement of the soft palate, or pharyngoplasty
to build up the back of the pharynx, so that the palate does not need to move as far to obtain closure.
Topics include normal sleep physiology, overview of sleepiness, cardiovascular effects of sleep-disordered breathing, narcolepsy and hypersomnias, oral appliances for snoring and sleep apnea, the role of psychology in treating sleep disorders, expansion sphincter pharyngoplasty
for obstructive sleep apnea, skeletal surgery, and neurobehavioral morbidity in childhood sleep disorders.
Predictors of outcome for uvulopalato pharyngoplasty
Extended posterior wall pharyngoplasty
for immediate reconstruction of the soft palate in commando excision of oropharyngeal neoplasm.
The child was brought to the operating room for an examination under anesthesia and possible pharyngoplasty.
18) All 10 were still able to undergo either pharyngeal flap surgery or sphincter pharyngoplasty without complications.
Because the vessel appeared to be not directly submucosal on examination by office flexible nasopharyngoscopy, we felt that it would be possible to create a carefully raised flap with the palatopharyngeal muscles by sphincter pharyngoplasty.