Treatments: pharyngeal surgeries; tracheostomy; tongue suspension; maxillomandibular advancement; adenotonsillectomy; mandibular distraction; CPAP D "Voice" Focus on aspects not related with Speech-Language Pathology: vocal fold paralysis; malformation of the upper airway; Lung disease; type II mucopolysaccharidosis; cleft lip and palate; cancer; Charcot-Marie-Tooth disease; laryngeal sarcoidosis; diffuse idiopathic skeletal hyperostosis Treatments: utilization of CPAP adenotonsillectomy; uvulopalatopharyngoplasty; pharyngoplasty
E "Speech Therapy" Focus on aspects not related with Speech-Language Pathology: Microcephaly; Prader-Willi syndrome; Down syndrome; ataxias; metabolic syndrome; cancer.
In our group, partial glossectomy, lingual tonsillectomy, SMILE, and genioglossus advancement were used in combination with other surgeries such as septoplasty, submucosal resection of turbinates, tonsillectomy and/or pharyngoplasty when multilevel obstruction existed.
Table 1: Hypopharyngeal, nasal, oropharyngeal, and multilevel surgeries performed Surgical Procedure Incidence (#/22) Hypopharyngeal Partial glossectomy 11 Lingual tonsillectomy 7 SMILE 2 Genioglossus advancement 2 Nasal Septoplasty 17 Submucosal resection of turbinates 19 Oropharyngeal Pharyngoplasty (Lateral, Uvulopalato, Sphincter) 20 Tonsillectomy 11 Multilevel Two Levels 4 Three Levels 18 Table 2: Incidence of complications following hypopharyngeal surgery Surgical Outcome Incidence (#/22) Intra-operative complications 0 Post-operative [O.
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.
Frequency of pharyngoplasty
after primary repair of cleft palate.
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
Outcomes of combined Furlow palatoplasty and sphincter pharyngoplasty
for velopharyngeal insufficiency.
Management of velopharyngeal insufficiency: development of a protocol and modifications of sphincter 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