Results and complications of 1104 surgeries for velopharyngeal insufficiency.

摘要: Velopharyngeal insufficiency (VPI) means that the velopharyngeal closure is inadequate or disturbed. VPI may be organic functional, congenital acquired and caused by structural alterations paresis. The symptoms are primarily to found in speech (hypernasality), more rarely swallowing hearing. management types as follows: therapy, surgery, bulb, others. Surgery indicated if of cannot improved therapy. Among operative methods, velopharyngoplasty constitutes basis surgery. pharyngeal flap was incorporated survived 98.1% cases, hyperrhinophony disappeared became minimal 90% after surgery our material (1104 cases). results seemed same with superiorly inferiorly based flap. Furlow technique, push-back procedure, sphincteroplasty, augmentation were us VP gap less than 7 mm; these methods also used secondary operation. We observed among 1104 various surgeries severe hemorrhage 5 aspiration 2 significant nasal obstruction 68 patients, OSAS cases; tracheotomy necessary cases. Although complication rate rare, it must always considered this not a life-saving but speech-correcting A tailor-made suggested today, possibly age years.